Boonam Shin
Community/Retail Pharmacy
111 W Beverly Blvd, Ste B, Montebello
California, 90640-4312
323-724-8111 323-724-1754
Boonam Shin is not a DME supplier for medicare equipments and products.
Boonam Shin is a Community/Retail Pharmacy in Montebello, California. It is located at 111 W Beverly Blvd, Ste B, Montebello and it's customer support contact number is 323-724-8111. The authorized person of Boonam Shin is Boonam Shin, RPH who is Owner of the pharmacy and his contact number is 323-742-8111. Active license number of Boonam Shin is PHY41023 for Community/Retail Pharmacy in California.
Boonam Shin is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Boonam Shin type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Boonam Shin |
| Type: | Community/Retail Pharmacy |
| Location: | 111 W Beverly Blvd, Ste B, Montebello, California, 90640-4312 |
| Phone: | 323-724-8111 |
| Fax: | 323-724-1754 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Boonam Shin |
| Credentials: | RPH |
| Position: | Owner |
| Contact Number: | 323-742-8111 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1821137118 |
| NPI Enumeration Date: | 05 Feb, 2007 |
| NPI Last Update On: | 27 May, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Boonam Shin are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY41023 | California | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0523008 | Other | | Other Id Number |
| PHA410230 | Medicaid | California | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 111 W Beverly Blvd, Ste B Montebello, California |
| Zip: | 90640-4312 |
| Phone Number: | 323-724-8111 |
| Fax Number: | 323-724-1754 |
Patients can reach Boonam Shin at
111 W Beverly Blvd, Ste B, Montebello, California or can
call on customer care at 323-724-8111.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.