Organization Active NPI

Hsys Management Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1306961883
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HSYS MANAGEMENT INC
Doing business as
Bokjee Pharmacy
Canaan Bokjee Pharmaceutical Care
Practice address
903 S. Crenshaw Blvd. #102-B
Los Angeles, CA 90019-1965
Phone
(323) 932-0202
Fax
(323) 932-6362
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Erica Yoosun LeeNPI 1588384309
Title
Ceo
Phone
(323) 932-0202

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY53475 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

903 S. Crenshaw Blvd. #102-B
Los Angeles, CA 90019-1965

Mailing address

903 S. Crenshaw Blvd. #102-B
Los Angeles, CA 90019-1965
Phone (323) 932-0202

Other identifiers 1

IdentifierTypeStateIssuer
2153255OtherPK

Other names 2

  • Bokjee Pharmacy Doing business as
  • Canaan Bokjee Pharmaceutical Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211001102 CA Part B Supplier - Pharmacy 8820400013 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

903 Crenshaw Blvd
Ste 102B
Los Angeles, CA 90019
Phone (323) 932-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1306961883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 S. CRENSHAW BLVD. #102-B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "323-932-0202",
            "fax_number": "323-932-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 S. CRENSHAW BLVD. #102-B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191965",
            "telephone_number": "323-932-0202",
            "fax_number": "323-932-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSYS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "YOOSUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-932-0202"
    },
    "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": "PHY53475",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bokjee Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Canaan Bokjee Pharmaceutical Care",
            "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 Aug 31, 2022; 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.