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BRAVO PHARMACY
NPI 1104076884
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Active since September 30, 2008
10211 AVALON BLVD, LOS ANGELES, CA 90003(323) 757-2727(323) 575-2722 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bravo Pharmacy NPPES

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

BRAVO PHARMACY (NPI 1104076884) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since September 2008. The organization lists Sang Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104076884
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBRAVO PHARMACY LLC
Location Address10211 AVALON BLVDLos Angeles, CA 90003-4819
Mailing Address2275 Torrance Blvd, Suite101Torrance, CA 90501-2550 · (310) 618-1988 · Fax (310) 618-1996
Phone(323) 757-2727
Fax(323) 575-2722
Organization SubpartNo
Authorized OfficialSang KimCeo · (310) 618-1988
Enumeration DateSeptember 30, 2008
Last NPPES UpdateNovember 15, 2011
✔ NPI 1104076884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY49276
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.
10211 AVALON BLVD, Los Angeles, CA 90003
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Other Names 1

Doing Business AsBravo Pharmacy

Other Identifiers 1

Other5632422Ncpdp Provider Identification Number

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 Bravo Pharmacy LLC's NPI number?

The NPI number for Bravo Pharmacy LLC is 1104076884. It was assigned to this organization in the NPPES registry on September 30, 2008. The provider is doing business as Bravo Pharmacy.

Where is Bravo Pharmacy LLC located?

Bravo Pharmacy LLC is located at 10211 Avalon Blvd, Los Angeles, CA 90003. The listed phone number is (323) 757-2727.

What is Bravo Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Bravo Pharmacy LLC was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.