Organization Active NPI

NTT Corporation

Doing business as Kieu An Pharmacy

  • Community/Retail Pharmacy
  • San Gabriel, CA
National Provider Identifier
1083603476
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 51153 Issued in CA
Legal business name
NTT CORPORATION
Doing business as
Kieu An Pharmacy
Practice address
600 E Valley Blvd
#G
San Gabriel, CA 91776-3673
Phone
(626) 280-0466
Fax
(626) 572-0569
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mrs. Nhi Hanh Hguyen Tran, RPH
Title
President/Pic
Phone
(626) 280-0466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 51153 CA
Community/Retail Pharmacy 3336C0003X PHY 51153 CA Primary

Addresses

Primary practice location

600 E Valley Blvd
#G
San Gabriel, CA 91776-3673

Mailing address

600 E Valley Blvd
#G
San Gabriel, CA 91776-3673
Phone (626) 280-0466

Other identifiers 3

IdentifierTypeStateIssuer
PHY 51153OtherCARETAIL PHARMACY PERMIT
05-90198OtherCANCPDP
1083603476MedicaidCA

Other names 1

  • Kieu An Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130131000071 CA DME Supplier - Pharmacy 4486808300 Practice locations: San Gabriel, 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
Kieu an Pharmacy600 E Valley Blvd, San Gabriel, CA 91776-3673(626) 280-0466 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jan 1, 1995

National Provider Directory

National Provider Directory

Locations

600 E Valley Blvd
Ste G
San Gabriel, CA 91776
Phone (626) 280-0466

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1083603476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E VALLEY BLVD",
            "address_2": "#G",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763673",
            "telephone_number": "626-280-0466",
            "fax_number": "626-572-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E VALLEY BLVD",
            "address_2": "#G",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763673",
            "telephone_number": "626-280-0466",
            "fax_number": "626-572-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NHI",
        "authorized_official_middle_name": "HANH HGUYEN",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "626-280-0466",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 51153",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 51153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "PHY 51153",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "05-90198",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083603476",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kieu An Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.