Active NPI
Hsys Management Inc
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1306961883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Yoosun Lee
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2153255 | Other | PK |
Other names 2
- Bokjee Pharmacy
- Canaan Bokjee Pharmaceutical Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201211001102 | CA | Part B Supplier - Pharmacy | 8820400013 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Los Angeles, CA
- NPI 1588384309
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.