Lucky Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48786 Issued in CA

Legal business name

LUCKY PHARMACY INC

Practice address

416 W Las Tunas Dr
Ste 100
San Gabriel, CA 91776-1236

Phone

(626) 282-2277

Fax

(626) 458-8329

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Shiufong YanNPI 1669052197

Title

President

Phone

(626) 282-2277

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• LUCKY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shiufong Yan, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • San Gabriel, CA
  • NPI 1669052197
  NPD Authorized official
• Jarita Kar Wai Lee, PHARMD

  • Pharmacist
  • Sherman Oaks, CA
  • NPI 1356010540
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618012800000",
    "number": "1780685263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR",
            "address_2": "STE 100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-282-2277",
            "fax_number": "626-458-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR",
            "address_2": "STE 100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-282-2277",
            "fax_number": "626-458-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "SHIUFONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-282-2277"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48786",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0519097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUCKY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Lu, D.O.
• Shuhua Lu
• Vicky Lu, OD
• Vicky Wei Lu, L. AC.
• Yue Lu, L.AC.
• Jennifer Lee Lui, DDS
• Luo Junqing Therapy Inc
• Phoebe Zhaojun Luo
• Tiffany Amanda Luong, OD
• Anne Luu

• Community/Retail Pharmacy in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.