Active NPI
Lan Thi Tran Nguyen
Doing business as Du Pharmacy
- Community/Retail Pharmacy
- Garden Grove, CA
National Provider Identifier
1053585927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY49001
- Legal business name
- LAN THI TRAN NGUYEN
- Doing business as
- Du Pharmacy
- Practice address
- 10042 Lampson Ave
Garden Grove, CA 92840-4703 - Phone
- (714) 537-3819
- Fax
- (714) 537-8205
- NPI assigned
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lan Tran
- Title
- Pic
- Phone
- (562) 355-3831
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY49001 | CA | Primary |
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
10042 Lampson Ave
Garden Grove, CA 92840-4703
Mailing address
10042 Lampson Ave
Garden Grove, CA 92840-4703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5630062 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- DU PHARMACY
National Provider Directory
National Provider DirectoryLocations
10042 Lampson Ave
Garden Grove, CA 92840
Phone (714) 537-3819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242000000000",
"number": "1053585927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10042 LAMPSON AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10042 LAMPSON AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928404703",
"telephone_number": "714-537-3819",
"fax_number": "714-537-8205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAN THI TRAN NGUYEN",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2009-05-11",
"status": "A",
"authorized_official_last_name": "TRAN",
"authorized_official_first_name": "LAN",
"authorized_official_title_or_position": "PIC",
"authorized_official_telephone_number": "562-355-3831"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY49001",
"primary": true
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5630062",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DU 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 May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.