Organization Active NPI

Soon Young Yim

Doing business as Eden Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1154371268
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46931 Issued in CA
Legal business name
SOON YOUNG YIM
Doing business as
Eden Pharmacy
Practice address
2681 W Olympic Blvd
Ste 102
Los Angeles, CA 90006-2810
Phone
(213) 381-7705
Fax
(213) 381-7706
NPI assigned
May 11, 2006
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Soon Young Yim, RPHNPI 1497027486
Title
Owner
Phone
(213) 381-7705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY46931 CA Primary

Addresses

Primary practice location

2681 W Olympic Blvd
Ste 102
Los Angeles, CA 90006-2810

Mailing address

2681 W Olympic Blvd
Ste 102
Los Angeles, CA 90006-2810

Other names 1

  • Eden Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000360 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7618007055 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

2681 W Olympic Blvd
Ste 10
Los Angeles, CA 90006

2681 W Olympic Blvd
Ste 102
Los Angeles, CA 90006
Phone (213) 381-7705

Practitioners & affiliated clinicians

Practitioners 2

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": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1154371268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2681 W OLYMPIC BLVD",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2681 W OLYMPIC BLVD",
            "address_2": "STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062810",
            "telephone_number": "213-381-7705",
            "fax_number": "213-381-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOON YOUNG YIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "SOON YOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-381-7705",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.