TDC Pharmaceutical Corporation Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 50023 Issued in CA

Legal business name

TDC PHARMACEUTICAL CORPORATION INC.

Practice address

1172 N Euclid St
Anaheim, CA 92801-1900

Phone

(714) 817-8500

Fax

(714) 817-8555

NPI assigned

Nov 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hannah Nguyen, PHARM D

Title

Pharmacist-in-Charge

Phone

(714) 817-8500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VITAL HEALTH PLUS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1013244623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-817-8500",
            "fax_number": "714-817-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1172 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011900",
            "telephone_number": "714-817-8500",
            "fax_number": "714-817-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TDC PHARMACEUTICAL CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "714-817-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013244623",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "PHY50023",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL HEALTH PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jody Taylor
• Kendra Taylor
• Kevin Taylor, P.T.
• Kip Taylor, MD
• Olivia Taylor
• Jackson Tea, MSN, PMHNP-BC
• Veronica Tea, O.D.
• Ronnie Arianna Bondoc Tecson
• Serena Teddy, PA-C, MS, RD
• Jeffrey C Teer

• Community/Retail Pharmacy in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.