Active NPI
Hakeli Pharmacy Group, Inc.
- Community/Retail Pharmacy
- Rosemead, CA
National Provider Identifier
1699448092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HAKELI PHARMACY GROUP, INC.
- Practice address
- 3109 Del Mar Ave
Rosemead, CA 91770-2366 - Phone
- (626) 288-2878
- NPI assigned
- Jul 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kejing Kelly Guo
- Title
- Ceo/Cfo/Secretary/Director
- Phone
- (626) 288-2878
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
3109 Del Mar Ave
Rosemead, CA 91770-2366
Mailing address
3109 Del Mar Ave
Rosemead, CA 91770-2366
Other names 1
- Golden Payless Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211102000908 | CA | Part B Supplier - Pharmacy | 1557759065 | Practice locations: Rosemead, CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Riverside, CA
- NPI 1487930376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1699448092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 DEL MAR AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 DEL MAR AVE",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917702366",
"telephone_number": "626-288-2878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAKELI PHARMACY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-07-30",
"status": "A",
"authorized_official_last_name": "GUO",
"authorized_official_first_name": "KEJING",
"authorized_official_middle_name": "KELLY",
"authorized_official_title_or_position": "CEO/CFO/SECRETARY/DIRECTOR",
"authorized_official_telephone_number": "626-288-2878"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Golden Payless Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.