GRAND PHARMACY., INC (NPI# 1831500446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831500446 |
| Entity Type | Organization |
| Organization Name | GRAND PHARMACY., INC |
| Practice Address |
505 S Virgil Ave 107 Los Angeles CA 90020-1406 |
| Practice Telephone | 2133805100 |
| Practice Fax Number | 2133867733 |
| Mailing Telephone | 2133805100 |
| Mailing Fax Number | 2133867733 |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MR. JOON TAE CHOI (CEO) |
| Authorized Official Telephone | 2132769090 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY51830 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356752877 | Grand Pharmacy., Inc | Pharmacy | 505 S Virgil Ave # 107, Los Angeles, CA 90020-1406 | 2014-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | GRAND PHARMACY & SURGICAL SUPPLY, INC. | 30-02 30th Street, Queens, Ny 11102 |
| Street Address |
505 S VIRGIL AVE 107 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90020-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336168616 | Sonwoo Lee | Internal Medicine | 505 S Virgil Ave, Suite 208, Los Angeles, CA 90020-1415 | 2006-07-18 |
| 1972050847 | Yoonjung Lee | Dentist | 505 S Virgil Ave, #102, Los Angeles, CA 90020-1406 | 2016-09-08 |
| 1871942466 | Virgil Healthcare | Clinic/Center | 505 S Virgil Ave, Suite 101, Los Angeles, CA 90020-1406 | 2016-06-06 |
| 1902288277 | Adventist Health Physicians Network | Internal Medicine | 505 S Virgil Ave, #300, Los Angeles, CA 90020-1406 | 2015-06-23 |
| 1366860827 | Daniel Rheem M.d., Inc. | Internal Medicine | 505 S Virgil Ave, Suite 102, Los Angeles, CA 90020-1406 | 2014-04-02 |
| 1033537949 | Grand Gi & Endoscopy Group, Inc. | Clinic/Center | 505 S Virgil Ave, Suite 104, Los Angeles, CA 90020-1406 | 2014-03-29 |
| 1942623160 | Daniel Rheem Md Inc | Internal Medicine | 505 S Virgil Ave, Suite 102, Los Angeles, CA 90020-1406 | 2014-01-23 |
| 1871914291 | Grand Gi & Endoscopy Group, Inc. | Clinic/Center | 505 S Virgil Ave, Suite 104, Los Angeles, CA 90020-1406 | 2014-01-02 |
| 1629300405 | Hee Chul Kim | Acupuncturist | 505 S Virgil Ave, #140, Los Angeles, CA 90020-1406 | 2010-02-04 |
| 1295915585 | Dae Soon Rheem | Internal Medicine | 505 S Virgil Ave, Suite 102, Los Angeles, CA 90020-1406 | 2007-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164948048 | Edwina Antoinette Hunter | Community Health Worker | 550 S. Vermont Ave, 6th Floor, Los Angeles, CA 90020 | 2017-08-22 |
| 1639520661 | Jacqueline Carrasco | Counselor | 550 South Vermont Ave, 10th Floor, Los Angeles, CA 90020 | 2016-06-30 |
| 1649630914 | Hee Seung Lee | Marriage & Family Therapist | 3727 W. 6th Street, Suite 507, Los Angeles, CA 90020 | 2016-03-01 |
| 1134596273 | Jocelyn Marie Lee | Optometrist | 3750 W 6th St Ste 113, Los Angeles, CA 90020 | 2015-08-24 |
| 1316327075 | Lourdes Encarnacion Araujo | Social Worker | 550 S Vermont Ave 3rd Floor, Los Angeles, CA 90020 | 2015-06-08 |
| 1477933463 | Department of Mental Health | Clinic/Center | 550 South Vermont, Los Angeles, CA 90020 | 2015-06-04 |
| 1538566047 | Calvin A. Kim | Internal Medicine | 4220 W 3rd St Ste 201, Los Angeles, CA 90020 | 2014-11-26 |
| 1093115792 | John Abaya | Counselor | 550 S Vermont Ave 10th Floor, Los Angeles, CA 90020 | 2014-08-29 |
| 1528494481 | Sung Eun Lee | Acupuncturist | 340 S New Hampshire Ave #211, Los Angeles, CA 90020 | 2013-09-23 |
| 1861836587 | Robert Lee Smalls Jr. | Marriage & Family Therapist | 550 South Vermont Avenue, Juvenile Justice Transition Aftercare Services Division, Los Angeles, CA 90020 | 2013-04-24 |
| Find all providers in zip 90020 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265040836 | Cmc Enterprise, Inc. | Pharmacy | 2426 W 8th St Ste 112, Los Angeles, CA 90057-3840 | 2020-07-20 |
| 1538782230 | Altamed Health Services Corp | Pharmacy | 3945 Whittier Blvd Rm 100, Los Angeles, CA 90023-2440 | 2020-05-28 |
| 1184243602 | Dtla Rx Pharmacy Apc | Pharmacy | 1120 S Grand Ave Ste 103, Los Angeles, CA 90015-4677 | 2020-04-14 |
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1649807140 | Mixlab, Inc. | Pharmacy | 2223 Federal Ave, Los Angeles, CA 90064-1403 | 2020-03-25 |
| 1457985426 | Care Prescription Management | Pharmacy | 5757 Wilshire Blvd Ste 320, Los Angeles, CA 90036-3686 | 2020-02-27 |
| 1609409077 | Altamed Health Services Corp | Pharmacy | 2100 W 3rd St Ste 190, Los Angeles, CA 90057-1999 | 2020-02-13 |
| 1003448184 | Linco Pharmacy, Inc. | Pharmacy | 5755 W Adams Blvd, Los Angeles, CA 90016-2440 | 2020-02-06 |
| 1972149292 | Cedars-sinai Medical Care Foundation | Pharmacy | 11800 Wilshire Blvd Ste 202, Los Angeles, CA 90025-6602 | 2019-11-21 |
| 1659930089 | Jade Kalelei Wilia | Pharmacy | 1411 N Mansfield Ave Apt 9, Los Angeles, CA 90028-7676 | 2019-06-10 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90020 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.