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986 PHARMACY #8010
NPI 1336260348
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Active since April 03, 2007CLIA 05D2283556 · Waiver
2781-2783 W. OLYMPIC BLVD., LOS ANGELES, CA 90006(213) 816-0270(213) 816-0271 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2022, Dec 15, 2022, Jul 19, 2018 (3 updates tracked since 2018).

About 986 Pharmacy #8010 NPPES

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

986 PHARMACY #8010 (NPI 1336260348) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Olivia Thai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336260348
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKDJ HEALTHCARE INC
Location Address2781-2783 W. OLYMPIC BLVD.Los Angeles, CA 90006-2632
Mailing Address2781-2783 W. Olympic Blvd.Los Angeles, CA 90006-2632 · (213) 816-0270 · Fax (213) 816-0271
Phone(213) 816-0270
Fax(213) 816-0271
Organization SubpartNo
Authorized OfficialOlivia ThaiCeo · (213) 816-0270
Enumeration DateApril 3, 2007
Last NPPES UpdateDecember 27, 20223 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1336260348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
2781-2783 W. OLYMPIC BLVD., Los Angeles, CA 90006
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Other Names 1

Doing Business As986 Pharmacy #8010

Other Identifiers 1

Other58812CA · Ca Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 05D2283556

Kdj Healthcare Inc Dba 986 Pharmacy #8010 · Los Angeles, CA
Active · expires Jun 7, 2027
CLIA Number05D2283556
Laboratory TypePharmacy
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorGrace Y. Kim
Laboratory Phone(213) 816-0270
Laboratory LocationKdj Healthcare Inc Dba 986 Pharmacy #80102781 W Olympic Blvd, Los Angeles, CA 90006
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
21 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
21 services21 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories 986 Pharmacy #8010 carries, from the Medicare DMEPOS supplier directory.

986 Pharmacy #8010

DMEPOS supplier · Los Angeles, CAOperated by Kdj Healthcare Inc
✔

Accepts Medicare assignment

986 Pharmacy #8010 agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)21608949
Medicare Participant SinceJanuary 31, 2023
Supplier Location2781 And 2783 W Olympic BlvdLos Angeles, CA 90006
Phone(213) 816-0270
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Kdj Healthcare Inc's NPI number?

The NPI number for Kdj Healthcare Inc is 1336260348. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is doing business as 986 Pharmacy #8010.

Where is Kdj Healthcare Inc located?

Kdj Healthcare Inc is located at 2781-2783 W. Olympic Blvd., Los Angeles, CA 90006. The listed phone number is (213) 816-0270.

What is Kdj Healthcare Inc's specialty?

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

Does Kdj Healthcare Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, 986 Pharmacy #8010 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kdj Healthcare Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2283556) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kdj Healthcare Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 45 other insurers list Kdj Healthcare 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 Kdj Healthcare Inc was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.