Hesperia la Salle Pharmacy
NPI 1205997947ActiveOrganization· Pharmacy· Hesperia, CA
Pharmacy in Hesperia, California, registered in NPPES in December 2006. The authorized official on file is Young S. Kim, Owner Rph.
Overview
| NPI | 1205997947 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2006 |
| Last updated in NPPES | Aug 31, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | PHY 43984 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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