Organization Active NPI

Hakeli Pharmacy Group, Inc.

  • Community/Retail Pharmacy
  • Rosemead, CA
National Provider Identifier
1699448092
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Kejing Kelly GuoNPI 1487930376
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211102000908 CA Part B Supplier - Pharmacy 1557759065 Practice locations: Rosemead, CA

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.