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GARDENA MEDICAL PHARMACY
NPI 1003851320
Pharmacy - Community/Retail Pharmacy in Gardena, CA

Active since June 19, 2006
1045 W REDONDO BEACH BLVD, SUITE 300, GARDENA, CA 90247(310) 515-6570(310) 515-6549 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gardena Medical Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARDENA MEDICAL PHARMACY (NPI 1003851320) is a healthcare organization registered as a community/retail pharmacy in Gardena, California and active in the NPI registry since June 2006. The organization lists Soon R Chung, Owner, as its authorized official.

NPPES Registry Identity

NPI1003851320
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSOON R CHUNG
Location Address1045 W REDONDO BEACH BLVD, SUITE 300Gardena, CA 90247-4128
Mailing Address1045 W Redondo Beach Blvd, Suite 300Gardena, CA 90247-4128 · (310) 515-6570 · Fax (310) 515-6549
Phone(310) 515-6570
Fax(310) 515-6549
Organization SubpartNo
Authorized OfficialSoon R ChungOwner · (310) 515-6570
Enumeration DateJune 19, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1003851320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY48764
Definition

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1045 W REDONDO BEACH BLVD, Gardena, CA 90247
Open in Google Maps ↗

Other Names 1

Doing Business AsGardena Medical Pharmacy

Other Identifiers 1

Other0570158Ncpdp Provider Identification Number

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0714179

Gardena Medical Group · Gardena, CA
Active · expires Aug 31, 2026
CLIA Number05D0714179
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDan M. Kahen
Laboratory Phone(310) 323-9999
Laboratory LocationGardena Medical Group1146 W Redondo Beach Blvd, Gardena, CA 90247
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANFORD H GAYNOR M.D.
Internal Medicine (Nephrology)
1045 W REDONDO BEACH BLVD, SUITE 115
GARDENA, CA 90247
Los Angeles County (310) 527-7355
DR. ANNETTE A CORONEL PEREY MD
Pediatrics
1045 W REDONDO BEACH BLVD, STE 100
GARDENA, CA 90247
Los Angeles County (310) 532-5558
DR. GWEN MARIA ALLEN M.D.
Obstetrics & Gynecology
1045 W REDONDO BEACH BLVD, #500
GARDENA, CA 90247
Los Angeles County (310) 329-9492
LISA LEUNG CHU D.P.M.
Podiatrist (Foot & Ankle Surgery)
1045 W REDONDO BEACH BLVD, #106
GARDENA, CA 90247
Los Angeles County (310) 323-2887
DR. TIM T. TSUKAMOTO PHARM.D.
Pharmacist
1045 W REDONDO BEACH BLVD, SUITE 140
GARDENA, CA 90247
Los Angeles County (310) 532-0222
SANFORD H GAYNOR, M.D.,INC.
Internal Medicine (Nephrology)
1045 W REDONDO BEACH BLVD, SUITE 115
GARDENA, CA 90247
Los Angeles County (310) 527-7355
KELLY YU DPM
Podiatrist (Foot & Ankle Surgery)
1045 W REDONDO BEACH BLVD, SUITE 106
GARDENA, CA 90247
Los Angeles County (310) 323-2887
KIMBERLY JILL EDDINGS-REECE MD
Internal Medicine
1045 W REDONDO BEACH BLVD, SUITE 240
GARDENA, CA 90247
Los Angeles County (310) 225-2825

Frequently Asked Questions

What is SOON R CHUNG's NPI number?

The NPI number assigned to this healthcare provider is 1003851320, enumerated as an "organization" on June 19, 2006.

Where is the provider located?

The provider is located at 1045 W REDONDO BEACH BLVD SUITE 300 GARDENA, CA 90247 and the phone number is (310) 515-6570.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does SOON R CHUNG accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.