Organization Active NPI

Nam Phuong Pharmacy, Inc

  • Long Term Care Pharmacy
  • Garden Grove, CA
National Provider Identifier
1033013859
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NAM PHUONG PHARMACY, INC
Practice address
10691 Westminster Ave # 101
Garden Grove, CA 92843-4911
Phone
(714) 591-5700
Fax
(714) 591-5701
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
NAM PHUONG PHARMACY, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
David Le, RPH
Title
Pharmacist- in-Charge
Phone
(714) 591-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

10691 Westminster Ave # 101
Garden Grove, CA 92843-4911

Mailing address

10691 Westminster Ave # 101
Garden Grove, CA 92843-4911
Phone (714) 591-5700

Other identifiers 1

IdentifierTypeStateIssuer
1437959285MedicaidCA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1033013859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 WESTMINSTER AVE # 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434911",
            "telephone_number": "714-591-5700",
            "fax_number": "714-591-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 WESTMINSTER AVE # 101",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434911",
            "telephone_number": "714-591-5700",
            "fax_number": "714-591-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAM PHUONG PHARMACY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NAM PHUONG PHARMACY, INC",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST- IN-CHARGE",
        "authorized_official_telephone_number": "714-591-5700",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437959285",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.