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GRACE COMMUNITY PHARMACY
NPI 1801047964
Pharmacy - Community/Retail Pharmacy in La Palma, CA

Active since October 08, 2008
4881 LA PALMA AVE., LA PALMA, CA 90623(562) 860-0586(562) 860-0767 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2022, Aug 29, 2022, Aug 9, 2022 and 1 more (4 updates tracked since 2017).

About Grace Community Pharmacy NPPES

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

GRACE COMMUNITY PHARMACY (NPI 1801047964) is a healthcare organization registered as a community/retail pharmacy in La Palma, California and active in the NPI registry since October 2008. The organization lists Minjung K. Park, Pic, as its authorized official.

NPPES Registry Identity

NPI1801047964
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGRACE COMMUNITY PHARMACY, INC.
Location Address4881 LA PALMA AVE.La Palma, CA 90623
Mailing Address4881 La Palma Ave.La Palma, CA 90623 · (562) 860-0586 · Fax (562) 860-0767
Phone(562) 860-0586
Fax(562) 860-0767
Organization SubpartNo
Authorized OfficialMinjung K. ParkPic · (562) 860-0586
Enumeration DateOctober 8, 2008
Last NPPES UpdateOctober 31, 20224 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1801047964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
4881 LA PALMA AVE., La Palma, CA 90623
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Other Names 1

Other NameGrace Community Pharmacy

Other Identifiers 1

Medicaid1801047964CA

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 ›

Areas of Expertise CMS Part B claims 4

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.

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.
84 services83 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
55 services55 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
40 services40 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
38 services38 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Grace Pharmacy carries, from the Medicare DMEPOS supplier directory.

Grace Pharmacy

DMEPOS supplier · La Palma, CAOperated by Grace Community Pharmacy Inc
✔

Accepts Medicare assignment

Grace Pharmacy 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)20348177
Medicare Participant SinceAugust 2, 2022
Supplier Location4881 La Palma AveLa Palma, CA 90623
Phone(562) 860-0586
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 Grace Community Pharmacy, Inc.'s NPI number?

The NPI number for Grace Community Pharmacy, Inc. is 1801047964. It was assigned to this organization in the NPPES registry on October 8, 2008. The provider is also known as Grace Community Pharmacy.

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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Grace Community Pharmacy, Inc. accept Medicare assignment for medical equipment?

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

What insurance does Grace Community Pharmacy, 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 48 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 October 31, 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.