Organization Active NPI

Hanmi Pharmacy

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1770017477
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55580 Issued in CA
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

Updated by the provider on Apr 15, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20200728002352 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2264856939 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.