Individual provider Active NPI

Andrew Ming Yuen Kwong, PHARM. D.

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1710395306
Registry record updated Jul 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32171 Issued in CA
Practice address
3133 N Broadway
Los Angeles, CA 90031-2703
Phone
(323) 223-3228
Fax
(323) 222-1825
NPI assigned
Jul 26, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32171 CA Primary

Addresses

Primary practice location

3133 N Broadway
Los Angeles, CA 90031-2703

Mailing address

3133 N Broadway
Los Angeles, CA 90031-2703
Phone (323) 223-3228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
32171CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Kwong Past Accepting new patients
Gateway Circle Pharmacy Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406332800000",
    "number": "1710395306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312703",
            "telephone_number": "323-223-3228",
            "fax_number": "323-222-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312703",
            "telephone_number": "323-223-3228",
            "fax_number": "323-222-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "ANDREW",
        "middle_name": "MING YUEN",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-26",
        "last_updated": "2014-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "32171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2014; 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.