GARDENA CENTER PHARMACY LLC NPI 1144378787

NPI Information

  • NPI: 1144378787
  • Provider Name: GARDENA CENTER PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: GARDENA CENTER PHARMACY
  • Address: 15407 S WESTERN AVE
    GARDENA, CA
    ZIP 90249
  • Phone: (310) 767-1522

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NPI Details

GARDENA CENTER PHARMACY LLC is a community/retail pharmacy pharmacy in Gardena, CA. The provider is 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. GARDENA CENTER PHARMACY LLC NPI is 1144378787. The provider is registered as an organization entity type.
The provider Is Doing Business As Gardena Center Pharmacy.

The provider's business location address is:

15407 S WESTERN AVE
GARDENA, CA
ZIP 90249-318
Phone: (310) 767-1522
Fax: (310) 767-1174

The provider's authorized official is Bo Park .
The authorized official title is Pharmacist And Owner and has the following contact phone number (310) 767-1522.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 11/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY41295CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13663850001MEDICARE NSC
21996114OTHERPK
3PHA412950MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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