Organization Active NPI

Champion Health Pharmacy, Inc

  • Community/Retail Pharmacy
  • Cerritos, CA
National Provider Identifier
1013882596
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
CHAMPION HEALTH PHARMACY, INC
Practice address
13434 Artesia Blvd
Cerritos, CA 90703-8806
Phone
(562) 202-3857
Fax
(562) 202-3858
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace Hong, RPHNPI 1124994785
Title
Pharmacist in Charge/ Ceo
Phone
(714) 213-9005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

13434 Artesia Blvd
Cerritos, CA 90703-8806

Mailing address

13434 Artesia Blvd
Cerritos, CA 90703-8806
Phone (562) 202-3857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260429003244 CA Part B Supplier - Pharmacy 8325515133 Practice locations: Cerritos, CA

National Provider Directory

National Provider Directory

Locations

13434 Artesia Blvd
Cerritos, CA 90703
Phone (562) 202-3857

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1013882596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13434 ARTESIA BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038806",
            "telephone_number": "562-202-3857",
            "fax_number": "562-202-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13434 ARTESIA BLVD",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038806",
            "telephone_number": "562-202-3857",
            "fax_number": "562-202-3858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPION HEALTH PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/ CEO",
        "authorized_official_telephone_number": "714-213-9005",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.