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GRACE COMMUNITY PHARMACY, INC.
NPI 1013726637
Pharmacy - Long Term Care Pharmacy in La Palma, CA

Active since January 07, 2025CLIA 05D2288227 · Waiver
4881 LA PALMA AVE, LA PALMA, CA 90623(562) 860-0586(562) 860-0767 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Community Pharmacy, Inc. NPPES

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

GRACE COMMUNITY PHARMACY, INC. (NPI 1013726637) is a healthcare organization registered as a long term care pharmacy in La Palma, California and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists Minjung K Park, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013726637
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGRACE COMMUNITY PHARMACY, INC.
Location Address4881 LA PALMA AVELa Palma, CA 90623-2019
Mailing Address4881 La Palma AveLa Palma, CA 90623-2019 · (562) 860-0586 · Fax (562) 860-0767
Phone(562) 860-0586
Fax(562) 860-0767
Organization SubpartYes
Authorized OfficialMinjung K ParkCeo · (562) 860-0586
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
✔ NPI 1013726637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4881 LA PALMA AVE, La Palma, CA 90623
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan and more.Insurance ›

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 05D2288227

Grace Community Pharmacy · La Palma, CA
Active · expires Aug 22, 2027
CLIA Number05D2288227
Laboratory TypePharmacy
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorWoo Sung Ahn
Laboratory Phone(562) 860-0586
Laboratory LocationGrace Community Pharmacy4881 La Palma Ave, La Palma, CA 90623
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MINJUNG K PARK PH.D.
Pharmacist
4881 LA PALMA AVE
LA PALMA, CA 90623
Orange County (562) 860-0586
MRS. SUN HUI KIM R.PH.
Pharmacist
4881 LA PALMA AVE
LA PALMA, CA 90623
Orange County (562) 860-0586

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Community Pharmacy, Inc.'s NPI number?

The NPI number for Grace Community Pharmacy, Inc. is 1013726637. It was assigned to this organization in the NPPES registry on January 7, 2025.

Where is Grace Community Pharmacy, Inc. located?

Grace Community Pharmacy, Inc. is located at 4881 La Palma Ave, La Palma, CA 90623. The listed phone number is (562) 860-0586.

What is Grace Community Pharmacy, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Grace Community Pharmacy, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2288227) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Grace Community Pharmacy, Inc. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan, Blue Cross Blue Shield of North Dakota and Blue Cross Blue Shield of Wyoming and 11 other insurers list Grace Community Pharmacy, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Community Pharmacy, Inc. was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.