Individual provider Active NPI

So Mee Kwon

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1457071623
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
86599 Issued in CA
Practice address
461 S Western Ave
Los Angeles, CA 90020-4102
Phone
(213) 480-3322
Fax
(213) 401-0002
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 86599 CA Primary

Addresses

Primary practice location

461 S Western Ave
Los Angeles, CA 90020-4102

Mailing address

2801 Sunset PL Apt 1417
Los Angeles, CA 90005-4483
Phone (949) 599-8152

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
86599CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Springs Pharmacy Inc. CurrentSince May 25, 2025 Accepting new patients
SD Pharmcare Inc PastSince Oct 21, 2025 Accepting new patients
SD Pharmcare Inc PastSince Oct 5, 2025 Accepting new patients
JJS Pharmacy LLC PastSince Sep 4, 2022 Accepting new patients

Locations

21010 Golden Springs Dr
Walnut, CA 91789
Phone (909) 595-4003

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1457071623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SUNSET PL APT 1417",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054483",
            "telephone_number": "949-599-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900204102",
            "telephone_number": "213-480-3322",
            "fax_number": "213-401-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWON",
        "first_name": "SO MEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "86599",
            "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 Mar 4, 2026; 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.