Active NPI
Soon Il Hong, PHARMACIST
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1346755824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83757
- Practice address
- 254 N Western Ave
Los Angeles, CA 90004-4108 - Phone
- (323) 467-2101
- Fax
- (323) 469-8615
- NPI assigned
- Dec 6, 2017
- Last updated
- Sep 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 063590 | NY | |
| Pharmacist | 183500000X | 83757 | CA | Primary |
Addresses
Primary practice location
254 N Western Ave
Los Angeles, CA 90004-4108
Mailing address
254 N Western Ave
Los Angeles, CA 90004-4108
Phone (323) 467-2101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063590 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soon Hong Pharmaceutical, Inc | Current | Accepting new patients | |
| W & Z Apothecary Inc | Past | Accepting new patients | |
| Sue Jung Inc | Past | Accepting new patients | |
| Riteway Pharmacy & Food House Inc. | Pharmacist | Past | Accepting new patients |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Locations
254 N Western Ave
Los Angeles, CA 90004
Phone (323) 467-2101
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Soon Plus Pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1437997467
-
- Pharmacist
- Bronx, NY
- NPI 1598144271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1346755824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 N WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044108",
"telephone_number": "323-467-2101",
"fax_number": "323-469-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 N WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044108",
"telephone_number": "323-467-2101",
"fax_number": "323-469-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "SOON IL",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-06",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063590",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.