Organization Active NPI

Nguyen Vo Inc

Doing business as Oc Pharmacy

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1023279015
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NGUYEN VO INC
Doing business as
Oc Pharmacy
Practice address
14150 Brookhurst St
Garden Grove, CA 92843-4657
Phone
(714) 590-9401
Fax
(714) 590-9291
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Thuydiem Vo, PHARMDNPI 1215219662
Title
President
Phone
(714) 590-9401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

14150 Brookhurst St
Garden Grove, CA 92843-4657

Mailing address

14150 Brookhurst St
Garden Grove, CA 92843-4657
Phone (714) 590-9401

Other identifiers 2

IdentifierTypeStateIssuer
1991584OtherPK
1023279015MedicaidCA

Other names 1

  • OC PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190129003551 CA DME Supplier - Pharmacy 4082951082 Practice locations: Garden Grove, CA
O20190221003028 CA Part B Supplier - Mass Immunization (Roster Biller Only) 4082951082 Practice locations: Garden Grove, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Oc Pharmacy14150 Brookhurst St, Garden Grove, CA 92843-4657(714) 590-9401 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Nov 19, 2018

National Provider Directory

National Provider Directory

Locations

14150 Brookhurst St
Garden Grove, CA 92843
Phone (714) 590-9401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1023279015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434657",
            "telephone_number": "714-590-9401",
            "fax_number": "714-590-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14150 BROOKHURST ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434657",
            "telephone_number": "714-590-9401",
            "fax_number": "714-590-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN VO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "THUYDIEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-590-9401",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023279015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.