Active NPI
Hanmi Pharmacy
- Community/Retail Pharmacy
- Los Angeles, CA
National Provider Identifier
1770017477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55580
- Legal business name
- HANMI PHARMACY
- Practice address
- 325 1/2 S Western Ave
Los Angeles, CA 90020-3804 - Phone
- (213) 384-3302
- NPI assigned
- Apr 19, 2017
- 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
- Nam Hong
- Title
- Ceo
- Phone
- (213) 384-3302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY55580 | CA | Primary |
Addresses
Primary practice location
325 1/2 S Western Ave
Los Angeles, CA 90020-3804
Mailing address
325 1/2 S Western Ave
Los Angeles, CA 90020-3804
Phone (626) 422-1271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200728002352 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 2264856939 | Practice locations: Los Angeles, CA |
National Provider Directory
National Provider DirectoryLocations
325 S Western Ave
Los Angeles, CA 90020
Phone (213) 384-3302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586908800000",
"number": "1770017477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 1/2 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203804",
"telephone_number": "626-422-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 1/2 S WESTERN AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203804",
"telephone_number": "213-384-3302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANMI PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-19",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A",
"authorized_official_last_name": "HONG",
"authorized_official_first_name": "NAM",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-384-3302"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY55580",
"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 Apr 15, 2020; 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.