MEMORIAL HOSPITAL OF GARDENA PHARMACY
NPI 1669491700
Pharmacy - Institutional Pharmacy in Gardena, CA

Overall Rating: 4 out of 5 stars

NPI Status: Active since July 19, 2006

Contact Information

1145 W REDONDO BEACH BLVD
GARDENA, CA
ZIP 90247
Phone: (310) 532-4200
Fax: (310) 512-6123

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Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
Authorized Official
Nursing Home Quality Information
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pharmacy
Institutional Pharmacy
Accepts Insurance
CLIA Number: 05D0717956
CLIA Cert. Type: Hospital
CLIA Exp. Date: 03-18-2027

About MEMORIAL HOSPITAL OF GARDENA PHARMACY

This page provides the complete NPI Profile along with additional information for Memorial Hospital Of Gardena Pharmacy, a provider established in Gardena, California operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1669491700 assigned on July 2006. The practitioner's primary taxonomy code is 3336I0012X with license number HSP49929 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Memorial Hospital Of Gardena Pharmacy. The authorized official of this NPI record is Stephen Popkin (Chief Executive Officer)

NPI: 1669491700
Provider Legal Name: GARDENA HOSPITAL LP
Other Organization Name: MEMORIAL HOSPITAL OF GARDENA PHARMACY
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 1145 W REDONDO BEACH BLVD GARDENA, CA 90247
Location Phone: (310) 532-4200
Location Fax: (310) 512-6123
Mailing Address: 1145 W REDONDO BEACH BLVD GARDENA, CA 90247
Mailing Phone: (310) 532-4200
Mailing Fax: (310) 512-6123
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-19-2006
Last Update Date: 09-13-2016
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According to the Nursing Home Compare program data, Memorial Hospital Of Gardena Pharmacy has an above average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 4 out of 5 stars provide a snapshot of this nursing home quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pharmacy Institutional Pharmacy
Taxonomy Code: 3336I0012X
Type: Suppliers
License No.: HSP49929
License State: CA
Taxonomy Description: A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	333600000X	Suppliers	Pharmacy

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Catastrophic Standard - HMO
Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

Antidote Health Plan of Ohio, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Bronze Standard - HMO
Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Gold Standard - HMO
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
Silver Standard - HMO

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000 - EPO
Moda Health Affinity Bronze 9000 - EPO
Moda Health Affinity Bronze HDHP 7500 - EPO
Moda Health Affinity Gold 1000 - EPO
Moda Health Affinity Gold 1500 - EPO
Moda Health Affinity Gold 250 - EPO
Moda Health Affinity Silver 3000 - EPO
Moda Health Affinity Silver 3400 - EPO
Moda Health Affinity Silver 4500 - EPO
Moda Health Affinity Silver 6000 - EPO
Moda Health Oregon Standard Bronze Affinity - EPO
Moda Health Oregon Standard Gold Affinity - EPO
Moda Health Oregon Standard Silver Affinity - EPO
Moda Select Alaska Bronze 6500 - PPO
Moda Select Alaska Bronze HDHP 5500 - PPO
Moda Select Alaska Gold 1500 - PPO
Moda Select Alaska Silver 4500 - PPO
Moda Select Alaska Standard Bronze - PPO
Moda Select Alaska Standard Gold - PPO
Moda Select Alaska Standard Silver - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: STEPHEN POPKIN
Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (310) 532-4200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1998733	OTHER (01)		PK
HSC30468I	MEDICAID (05)	CA
PHB463690	MEDICAID (05)	CA

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality Rating	Not Available
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection Rating	Not Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating	- 5 out of 5 stars - Much Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating	- 5 out of 5 stars - Much Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures Rating	Not Available
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only. *Not enough data available to calculate a star rating.
Staffing Rating	- 2 out of 5 stars - Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
Nurse Aide Staffing Hours	2.93 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours	1.58 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
RN Staff Turnover	42.9%
Resgistered nurse turnover is the percentage of registered nursing staff who stop working at the facility within a given year.
Administrator Turnover	1
Number of administrators who left the nursing home within a given year.
Ownership Type	For profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds	69 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day	62 residents
Average number of residents living in the facility per day.
Automatic Sprinkler Systems	Yes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents	0 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints	4 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections	0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties	2 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines	1 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines	$12831.00
Total monetary amount of fine imposed on the facility in the last 3 years.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 05D0717956
Facility Type: Hospital
Certificate Effective Date: March 19, 2025
Certificate Expiration Date: March 18, 2027
Laboratory Director: DR. FARID BESHARAT
Certificate Type: Certificate of Accreditation
Certificate Type Description: This is a CLIA certificate is issued to Memorial Hospital Of Gardena Pharmacy on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669491700, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 12 → 1 + 2

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 2

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 8 + 9 + 2 + 7 + 0 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0

This NPI is valid

The calculated check digit is 0, which matches the last digit of 1669491700.