PGBB LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

PGBB LLC

Doing business as

SPECIALTY CARE RX

Practice address

200 E Katella Ave Ste a
Orange, CA 92867-4805

Phone

(714) 941-6177

Fax

(714) 941-6178

NPI assigned

Mar 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Griffith

Title

Member

Phone

(949) 506-1300

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SPECIALTY CARE RX 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.

• Ivigrx LLC

  • Home Infusion Therapy Pharmacy
  • Diamond Bar, CA
  • NPI 1639358047

  O20150723008751

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hung Chau, PHARMD

  • Pharmacist
  • Signal Hill, CA
  • NPI 1588050058
  NPD (past)
• Phillip Montano

  • Pharmacy Technician
  • Orange, CA
  • NPI 1740715960
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1104191592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E KATELLA AVE STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674805",
            "telephone_number": "714-941-6177",
            "fax_number": "714-941-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E KATELLA AVE STE A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674805",
            "telephone_number": "714-941-6177",
            "fax_number": "714-941-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGBB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "GRIFFITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "949-506-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59102",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5643184",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECIALTY CARE RX",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SPECIALTY CARE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Peyronnard, M.D.
• Krista S. Pfaendler, M.D.
• Miles Pfaff, MD
• Charles James Pfeiffer Jr., NP-C
• Matthew Paul Pfeiffer, DPT
• Ynin Pham-Methot, LCSW
• Anh Pham
• Anthony T. Pham, M.D.
• Celine Loves Pham
• Christine Xuan Pham, R.D.

• Specialty Pharmacy in Orange, CA
• Providers in Orange, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.