Organization Active NPI

Garfield Prescription Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1275107757
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GARFIELD PRESCRIPTION PHARMACY
Doing business as
Garfield Prescription Pharmacy
Practice address
3756 Santa Rosalia Dr Lbby
Los Angeles, CA 90008-3606
Phone
(323) 295-5585
Fax
(323) 293-7789
NPI assigned
May 18, 2021
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Hyo Soo LeeNPI 1649600172
Title
President
Phone
(323) 295-5585

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

3756 Santa Rosalia Dr Lbby
Los Angeles, CA 90008-3606

Mailing address

3756 Santa Rosalia Dr.
Garfield Prescription Pharmacy (Lobby)
Los Angeles, CA 90008-3606
Phone (323) 295-5585

Other identifiers 1

IdentifierTypeStateIssuer
PHA447060MedicaidCA

Other names 1

  • Garfield Prescription Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crenshaw Pharmcareinc2 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.

Locations

3756 Santa Rosalia Dr
Lbby
Los Angeles, CA 90008
Phone (323) 295-5585

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": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1275107757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR.",
            "address_2": "GARFIELD PRESCRIPTION PHARMACY (LOBBY)",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "323-295-5585",
            "fax_number": "323-293-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3756 SANTA ROSALIA DR LBBY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900083606",
            "telephone_number": "323-295-5585",
            "fax_number": "323-293-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD PRESCRIPTION PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HYO SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-295-5585"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA447060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garfield Prescription 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 May 18, 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.