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VERMONT GALLERIA PHARMACY
NPI 1417259326
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Active since November 29, 2010
440 S VERMONT AVE, STE 109, LOS ANGELES, CA 90020(213) 388-4100(213) 388-4200 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 19, 2022, Dec 22, 2021, Dec 14, 2021 (3 updates tracked since 2021).

About Vermont Galleria Pharmacy NPPES

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

VERMONT GALLERIA PHARMACY (NPI 1417259326) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since November 2010. The organization lists Kyungjoo Koo, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1417259326
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVG WELLNESS PHARMACY, INC.
Location Address440 S VERMONT AVE, STE 109Los Angeles, CA 90020-1987
Mailing Address5028 Boston AvenueGlendale, CA 91214-1013 · (818) 279-5407 · Fax (213) 388-4200
Phone(213) 388-4100
Fax(213) 388-4200
Organization SubpartNo
Authorized OfficialKyungjoo KooPharmacist In Charge · (213) 388-4100
Enumeration DateNovember 29, 2010
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1417259326 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.
440 S VERMONT AVE, Los Angeles, CA 90020
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Other Names 1

Doing Business AsVermont Galleria 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 Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vermont Galleria Pharmacy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110426000678Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 Vg Wellness Pharmacy, Inc.'s NPI number?

The NPI number for Vg Wellness Pharmacy, Inc. is 1417259326. It was assigned to this organization in the NPPES registry on November 29, 2010. The provider is doing business as Vermont Galleria Pharmacy.

Where is Vg Wellness Pharmacy, Inc. located?

Vg Wellness Pharmacy, Inc. is located at 440 S Vermont Ave Ste 109, Los Angeles, CA 90020. The listed phone number is (213) 388-4100.

What is Vg Wellness Pharmacy, Inc.'s specialty?

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

Is Vg Wellness Pharmacy, Inc. enrolled in Medicare?

Yes. Vg Wellness Pharmacy, Inc. is registered in the Medicare PECOS enrollment system.

When is Vg Wellness Pharmacy, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Mass Immunization (Roster Biller Only)) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

What insurance does Vg Wellness Pharmacy, Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 43 other insurers list Vg Wellness 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 Vg Wellness Pharmacy, Inc. was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.