Grand Pharmacy., Inc
NPI 1356752877 · Community/Retail Pharmacy · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Pharmacy., Inc is a Community/Retail Pharmacy organization in Los Angeles, CA (NPI 1356752877).
Provider details
- NPI number
- 1356752877
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Joon Tae Choi, Ceo(213) 380-5100
- License
- 54623 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grand Pharmacy., Inc
Registry dates
- Enumerated
- 2014-05-19
- Last updated
- 2016-09-09
Frequently asked questions
- What is Grand Pharmacy., Inc's NPI number?
- Grand Pharmacy., Inc's National Provider Identifier (NPI) is 1356752877, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Pharmacy., Inc?
- Grand Pharmacy., Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Grand Pharmacy., Inc located?
- Grand Pharmacy., Inc's practice location on file with NPPES is 505 S Virgil Ave # 107, Los Angeles, CA 90020-1406.
- What is Grand Pharmacy., Inc's phone number?
- The practice phone number listed in the NPPES registry for Grand Pharmacy., Inc is (213) 380-5100.
- Does Grand Pharmacy., Inc accept Medicare?
- Grand Pharmacy., Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Pharmacy., Inc?
- The authorized official listed on Grand Pharmacy., Inc's NPPES record is Joon Tae Choi, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Pharmacy., Inc's NPI active?
- Yes — Grand Pharmacy., Inc's NPI (1356752877) is active in the NPPES registry as of the last update on 2016-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.