Woori Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY45130 Issued in CA

Legal business name

WOORI PHARMACY, INC.

Practice address

266 S Harvard Blvd Ste 120
Los Angeles, CA 90004-4374

Phone

(213) 384-6323

Fax

(213) 384-6340

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sang Jung Lee, PHARM.D.NPI 1114936945

Title

R.PH.

Phone

(213) 384-6323

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Sang Jung Lee, PHARMACIST

  • Pharmacist
  • Los Angeles, CA
  • NPI 1114936945
  NPD Authorized official
• Anna Lee, PHARM.D.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1801135728
  NPD (past)
• Yuji Lee, PHARM.D.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1841961356
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1356569404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-384-6323",
            "fax_number": "213-384-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 S HARVARD BLVD STE 120",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044374",
            "telephone_number": "213-384-6323",
            "fax_number": "213-384-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOORI PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "R.PH.",
        "authorized_official_telephone_number": "213-384-6323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "PHY45130",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45130",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45130",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY45130",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA451300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milan Woolridge
• Irene Woon, M.A., CCC-SLP
• Woori Health Village
• Woori Hospice Care Inc.
• Woori Medical Center Corp
• Christian Wooten
• Darlene Wooten
• Michelle Vijverberg Wooten, MD
• Patricia Ann Wooten
• Leslie Wootton, OTR

• 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 May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.