Individual provider Active NPI

Grace Hong, PHARMD, MBA

  • Pharmacist
  • Monterey Park, CA
National Provider Identifier
1073277273
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83065 Issued in CA
Practice address
600 N Garfield Ave Ste 107a
Monterey Park, CA 91754-1167
Phone
(626) 288-6560
Fax
(626) 288-6481
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83065 CA Primary

Addresses

Primary practice location

600 N Garfield Ave Ste 107a
Monterey Park, CA 91754-1167

Mailing address

600 N Garfield Ave Ste 107a
Monterey Park, CA 91754-1167
Phone (626) 288-6560

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL CSV Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
83065CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Sun Inc CurrentSince Oct 31, 2021 Accepting new patients

Locations

600 N Garfield Ave
Ste 107A
Monterey Park, CA 91754
Phone (626) 288-6560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1073277273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 107A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541167",
            "telephone_number": "626-288-6560",
            "fax_number": "626-288-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 107A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541167",
            "telephone_number": "626-288-6560",
            "fax_number": "626-288-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "GRACE",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CSV",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 N Garfield Ave Ste 107A",
            "city": "Monterey Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917541167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.