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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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