Grand Pharmacy., Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51830 Issued in CA

Legal business name

GRAND PHARMACY., INC

Practice address

505 S Virgil Ave
107
Los Angeles, CA 90020-1406

Phone

(213) 380-5100

Fax

(213) 386-7733

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Joon Tae Choi

Title

Ceo

Phone

(213) 276-9090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Bomi Kim, PHARM D

  • Pharmacist
  • Los Angeles, CA
  • NPI 1760064166
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1831500446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201406",
            "telephone_number": "213-380-5100",
            "fax_number": "213-386-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201406",
            "telephone_number": "213-380-5100",
            "fax_number": "213-386-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PHARMACY., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JOON TAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-276-9090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grand Avenue Surgery Center, LLC
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• Grand Park SNF Operator LLC
• Grand Pharmacy., Inc
• Grand Solutions Inc.
• Grand Venice LLC
• Emily Grand
• Maritza Del Carmen Granda-Luna
• Paula Marie Grandbois, RNFA

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 17, 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.