Boonam Shin
Boonam Shin is a healthcare organization registered as Community/Retail Pharmacy in Montebello, CA, holding Type 2 (organization) NPI 1821137118 since 2007. The authorized official on file is Boonam Shin, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1821137118 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Boonam Shin |
| Other name | <Unavail> |
| Practice address | 111 W BEVERLY BLVD, STE B, Montebello, CA, 90640 |
| Phone | 3237248111 |
| Fax | 3237241754 |
| Enumeration date | 2007-02-05 |
| Last updated in NPPES | 2011-05-27 |
Authorized official
| Name | Boonam Shin |
|---|---|
| Title | Owner |
| Phone | 3237428111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY41023 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0523008 | Other | — | OTHER ID NUMBER |
| PHA410230 | Medicaid | CA | — |
Copy-ready billing details
Provider: Boonam Shin NPI: 1821137118 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 111 W BEVERLY BLVD, STE B, Montebello, CA, 90640
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891772026 | Stephen Lee | Individual | Specialist | Montebello, CA |
| 1053413351 | George Caballero | Individual | Clinical Social Worker | Montebello, CA |
| 1326116211 | Casa Cardenas | Organization | Community/Behavioral Health Agency | Montebello, CA |
| 1811029929 | Stephen Y. Lee, M.D. Inc. | Organization | Specialist | Montebello, CA |
| 1225312218 | Savitri K Rambhatla, M.D, Inc | Organization | Neonatal-Perinatal Medicine Physician | Montebello, CA |
Verify this record
Cross-check NPI 1821137118 against the authoritative CMS record: view Boonam Shin on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Boonam Shin?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-27.