Active NPI
So Mee Kwon
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1457071623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86599
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86599 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Springs Pharmacy Inc. | Current | Accepting new patients | |
| SD Pharmcare Inc | Past | Accepting new patients | |
| SD Pharmcare Inc | Past | Accepting new patients | |
| JJS Pharmacy LLC | Past | 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.
-
- Pharmacy
- Diamond Bar, CA
- NPI 1326830118
-
- Community/Retail Pharmacy
- Diamond Bar, CA
- NPI 1750478665
-
- Long Term Care Pharmacy
- Los Angeles, CA
- NPI 1811861099
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1992851083
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.