Hong Sheng Medicine LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55645 Issued in CA

Legal business name

HONG SHENG MEDICINE LLC

Doing business as

NORTHEAST CLINIC PHARMACY

Practice address

3309 N Eastern Ave
Los Angeles, CA 90032-1931

Phone

(323) 222-0181

Fax

(323) 222-2733

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Chen-an Hsu

Title

Owner/Pic

Phone

(323) 222-0181

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• NORTHEAST CLINIC PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1609887280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321931",
            "telephone_number": "323-222-0181",
            "fax_number": "323-222-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 N EASTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321931",
            "telephone_number": "323-222-0181",
            "fax_number": "323-222-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONG SHENG MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "CHEN-AN",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "323-222-0181"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106063",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0524771",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA159040",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA462660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHEAST CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHEAST CLINIC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yvette Kathy Honda, PHYSICAL THERAPIST
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• Gu-Hwa Hong-Yi, PSY. ASSISTANT
• Aaron Kwan Hong, L.AC
• Ahrum Shane Hong, RN
• Alexander T. Hong
• Alfred Sung Hong, M.D.

• 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 Apr 14, 2022; 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.