FTF Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54296 Issued in CA

Legal business name

FTF PHARMACY CORPORATION

Practice address

17742 Beach Blvd Ste 100
Huntington Beach, CA 92647-6847

Phone

(714) 848-4447

Fax

(714) 843-9149

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Yoon Chang

Title

Owner, Pic

Phone

(714) 848-4447

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Beach Professional Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• FTF Pharmacy Corporation

  • Community/Retail Pharmacy
  • Fontana, CA
  • NPI 1326132366

  O20210308002576

  Same enrollment

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1083973259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476847",
            "telephone_number": "714-848-4447",
            "fax_number": "714-843-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 100",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476847",
            "telephone_number": "714-848-4447",
            "fax_number": "714-843-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FTF PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "YOON",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "714-848-4447"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158902",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beach Professional Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haifa Freihat
• Fresenius Medical Care Memorial, LLC
• Friedman Professional Management Co
• Sylva Frock, PHD
• Patrick Richard Frohn, A.T.,C
• FTF Pharmacy Corporation
• Fu Dental Corp
• Jason Fu, DDS
• Mei-CHI Fu, O.M.D.
• Jessica Fuentes

• Community/Retail Pharmacy in Huntington Beach, CA
• Providers in Huntington Beach, 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 Jan 24, 2017; 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.