Lucky Health Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 52063 Issued in CA

Legal business name

LUCKY HEALTH INC

Doing business as

Lucky Pharmacy

Practice address

1108 S Baldwin Ave
Store Number 8 & 9
Arcadia, CA 91007-7508

Phone

(626) 447-3888

Fax

(626) 869-1802

NPI assigned

Aug 10, 2006

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shiu Fong Yan, PHARMACIST

Title

President/Pic

Phone

(626) 447-3888

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LUCKY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Lucky Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lucky Health Inc

  dba Lucky Pharmacy

  • Pharmacy
  • Arcadia, CA
  • NPI 1477961571
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenny Yeung, RPH

  • Pharmacist
  • Arcadia, CA
  • NPI 1194479816
  NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1619988292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 S BALDWIN AVE",
            "address_2": "STORE NUMBER 8 & 9",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077508",
            "telephone_number": "626-447-3888",
            "fax_number": "626-869-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 S BALDWIN AVE",
            "address_2": "STORE NUMBER 8 & 9",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077508",
            "telephone_number": "626-447-3888",
            "fax_number": "626-869-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "SHIU  FONG",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "626-447-3888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 52063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP NUMBER",
            "identifier": "05-12675",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY 52063",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCKY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louie Lu, DAIM. L.AC.
• Prudence Lu, NP
• Joni Louise Lucarelli, CD(DONA)
• Lucas Hospice Inc.
• Lucky Health Inc (Lucky Pharmacy)
• Luis a. Nagy Psychoanalyst
• Jacquelyn Luna
• Shewak Ram Lund, MD
• Carmen Young Lung, CNM
• Mingda Luo, LAC

• Community/Retail Pharmacy in Arcadia, CA
• Providers in Arcadia, 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 Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.