Individual provider Active NPI

Seung Woo Son

  • Pharmacist
  • La Habra, CA
National Provider Identifier
1437556883
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76010 Issued in CA
Practice address
1151 S Harbor Blvd
La Habra, CA 90631-6840
Phone
(714) 773-0841
NPI assigned
Dec 1, 2014
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76010 CA Primary

Addresses

Primary practice location

1151 S Harbor Blvd
La Habra, CA 90631-6840

Mailing address

1151 S Harbor Blvd
La Habra, CA 90631-6840
Phone (760) 773-0841

Other practice location 1

4160 Airline Dr
Bossier City, LA 71111-2050
Phone (318) 742-4414

Other practice location 2

69155 Ramon Rd
Cathedral City, CA 92234-3344
Phone (760) 770-3097

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

LicenseStateTypeSpecialty
76010CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Jun 1, 2025 Accepting new patients
Garfield Beach CVS LLC PastSince Jul 13, 2025 Accepting new patients
Garfield Beach CVS, L.L.C. PastSince Jul 13, 2025 Accepting new patients
Thrifty Payless Inc PastSince Jun 1, 2025 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1437556883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 S HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316840",
            "telephone_number": "760-773-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 S HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316840",
            "telephone_number": "714-773-0841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 Airline Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711112050",
            "country_code": "US",
            "telephone_number": "318-742-4414",
            "fax_number": "318-742-0410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69155 Ramon Rd",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922343344",
            "country_code": "US",
            "telephone_number": "760-770-3097",
            "fax_number": "760-770-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SON",
        "first_name": "SEUNG WOO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-01",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Habra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.