Organization Active NPI

HK Galleria Pharmacy Inc

  • Pharmacy
  • Los Angeles, CA
National Provider Identifier
1992856587
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY45320 Issued in CA
Legal business name
HK GALLERIA PHARMACY INC
Practice address
3250 W. Olympic Blvd. Suite 101
Los Angeles, CA 90006
Phone
(323) 733-7200
Fax
(323) 733-1137
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Mrs. Karen Unmi Choi, PHARM. DNPI 1457708505
Title
Pharmacist Owner
Phone
(323) 829-2548

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY45320 CA Primary

Addresses

Primary practice location

3250 W. Olympic Blvd. Suite 101
Los Angeles, CA 90006

Mailing address

3250 W. Olympic Blvd. Suite 101
Los Angeles, CA 90006
Phone (323) 733-7200

Other identifiers 1

IdentifierTypeStateIssuer
PHA453200MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930072432 CA DME Supplier - Pharmacy 9739380072 Practice locations: Los Angeles, CA
O20200318000651 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9739380072 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2178232HK Galleria Pharmacy Inc3250 West Olympic Blvd Suite 101, Los Angeles, CA 90006Certificate of waiverJan 28, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Galleria Pharmacy3250 W Olympic Blvd, Los Angeles, CA 90006-2368(323) 733-7200 Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jun 17, 2005

National Provider Directory

National Provider Directory

Locations

3250 W Olympic Blvd
Ste 101
Los Angeles, CA 90006
Phone (323) 733-7200

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1992856587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W. OLYMPIC BLVD. SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "323-733-7200",
            "fax_number": "323-733-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W. OLYMPIC BLVD. SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90006",
            "telephone_number": "323-733-7200",
            "fax_number": "323-733-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HK GALLERIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "UNMI",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "323-829-2548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM. D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY45320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA453200",
            "state": "CA"
        }
    ],
    "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 Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.