Hoang Phung, PHARMD
Individual provider Active NPI Pharmacist · Monrovia, CA
NPI 1124554928 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1124554928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 63085 (CA)
- Practice address
- 950 W Foothill Blvd
Monrovia, CA 91016-1916 - Phone
- (626) 357-1818
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63085 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63085 | CA | Yes |
Addresses
Primary practice location
950 W Foothill Blvd
Monrovia, CA 91016-1916
Mailing address
950 W Foothill Blvd
Monrovia, CA 91016-1916
Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.