Dang Pharmacy Group Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48959 Issued in CA

Legal business name

DANG PHARMACY GROUP INC

Doing business as

San Gabriel Medical Pharmacy

Practice address

1250 S Sunset Ave Ste 207
West Covina, CA 91790-3962

Phone

(626) 960-8696

Fax

(626) 960-8749

NPI assigned

Jan 4, 2008

Last updated

Jul 8, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thi Dang, PHARMDNPI 1366956211

Title

President/Owner

Phone

(626) 960-8696

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SAN GABRIEL MEDICAL PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Dang Pharmacy Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Dang Pharmacy Group Inc

  dba San Gabriel Medical Pharmacy

  • Long Term Care Pharmacy
  • West Covina, CA
  • NPI 1679382824
  NPD tax ID
• Dang Pharmacy Group Inc

  dba San Gabriel Medical Compounding Pharmacy

  • Compounding Pharmacy
  • West Covina, CA
  • NPI 1821349341
  NPD tax ID

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.

• Thi Minh Dang, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • West Covina, CA
  • NPI 1366956211
  Authorized official Same address or phone

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1053596361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE STE 207",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903962",
            "telephone_number": "626-960-8696",
            "fax_number": "626-960-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S SUNSET AVE STE 207",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903962",
            "telephone_number": "626-960-8696",
            "fax_number": "626-960-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANG PHARMACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "626-960-8696",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053596361",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121289",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN GABRIEL MEDICAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dacel Inc (San Gabriel Medical Pharmacy)
• Nieves Daclison, RPT
• Haosi Dai
• Sarah Jane Dancel-Atendido, D.M.D
• Stewart N Danford III, MA
• Dang Pharmacy Group Inc (San Gabriel Medical Pharmacy)
• Dang Pharmacy Group Inc (San Gabriel Medical Compounding Pharmacy)
• Hansen Nam Dang
• Thi Minh Dang, RPH
• Daniel Chen DDS, Inc

• Community/Retail Pharmacy in West Covina, CA
• Providers in West Covina, 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 Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.