Nanoom Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NANOOM PHARMACY, INC.

Doing business as

Nanoom Pharmacy

Practice address

866 S Westmoreland Ave Ste 101B
Los Angeles, CA 90005-2372

Phone

(213) 459-5800

Fax

(213) 459-5802

NPI assigned

Aug 18, 2021

Last updated

Sep 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kyungsig ChoiNPI 1548930365

Title

Owner

Phone

(213) 459-5800

Specialties & licenses 1

Addresses

Other names 1

• NANOOM PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nanoom Pharmacy, Inc.

  dba One Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1588330617

  O20211012003163

  Same enrollment

Tax ID family

Nanoom Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nanoom Pharmacy, Inc.

  dba One Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
  • NPI 1588330617
  NPD tax ID

Locations

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.

• Kyungsig Michelle Choi

  • Pharmacist
  • Los Angeles, CA
  • NPI 1548930365
  NPD Authorized official

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1225704356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052372",
            "telephone_number": "213-459-5800",
            "fax_number": "213-459-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANOOM PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KYUNGSIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-459-5800"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NANOOM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NANOOM PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert G. Nankin, MD
• Nanna House Corp.
• Cathi Lee Nanninga, MD
• Luisa Nannini
• Nanoom Investment LLC (La Brea Acupuncture & Herb Clinic)
• Nanoom Pharmacy, Inc. (One Pharmacy)
• Naomi Clinic, Inc (Mikael Acupuncture)
• Naomi G. Finkelstein
• Hillel Naon, MD
• Princess Anya Naope

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.