Organization Active NPI

Luxury Pharmaceuticals, Inc.

  • Community/Retail Pharmacy
  • Van Nuys, CA
National Provider Identifier
1477618890
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
LUXURY PHARMACEUTICALS, INC.
Practice address
17643 Sherman Way Ste 104
Van Nuys, CA 91406-3510
Phone
(818) 708-0728
Fax
(818) 708-1253
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Olivia Eunkyung KimNPI 1396460135
Title
Ceo/Pic
Phone
(818) 708-0728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY48667 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

17643 Sherman Way Ste 104
Van Nuys, CA 91406-3510

Mailing address

17643 Sherman Way Ste 104
Van Nuys, CA 91406-3510
Phone (818) 708-0728

Other identifiers 1

IdentifierTypeStateIssuer
1993090OtherPK

Other names 1

  • H K VALLEY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

17643 Sherman Way
Unit 104
Van Nuys, CA 91406
Phone (818) 708-0728

17643 Sherman Way
#104
Van Nuys, CA 91406
Phone (818) 708-0728

17643 Sherman Way
Ste 104
Van Nuys, CA 91406
Phone (818) 708-0728

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1477618890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17643 SHERMAN WAY STE 104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063510",
            "telephone_number": "818-708-0728",
            "fax_number": "818-708-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17643 SHERMAN WAY STE 104",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063510",
            "telephone_number": "818-708-0728",
            "fax_number": "818-708-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY PHARMACEUTICALS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "EUNKYUNG",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "818-708-0728"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48667",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1993090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H K VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "H K VALLEY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.