VG WELLNESS PHARMACY INC NPI 1962168740

NPI Information

  • NPI: 1962168740
  • Provider Name: VG WELLNESS PHARMACY INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 440 S VERMONT AVE STE 109
    LOS ANGELES, CA
    ZIP 90020
  • Phone: (213) 388-4100

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NPI Details

VG WELLNESS PHARMACY INC is a community/retail pharmacy pharmacy in Los Angeles, 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. VG WELLNESS PHARMACY INC NPI is 1962168740. The provider is registered as an organization entity type.

The provider's business location address is:

440 S VERMONT AVE STE 109
LOS ANGELES, CA
ZIP 90020-987
Phone: (213) 388-4100
Fax: (213) 388-4200

The provider's authorized official is Kyungjoo Koo .
The authorized official title is Pharmacist In Charge and has the following contact phone number (818) 279-5407.

The enumeration date for this NPI number is 11/16/2021 and was last updated on 11/16/2021.

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
13336C0003XPharmacyCommunity/Retail PharmacyYes

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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