Organization Active NPI

Newbury Pharmacy Inc

  • Specialty Pharmacy
  • Fountain Valley, CA
National Provider Identifier
1174060248
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
NEWBURY PHARMACY INC
Doing business as
Spectrum Pharmacy
Practice address
9430 Warner Ave Ste G
Fountain Valley, CA 92708-2826
Phone
(657) 616-0976
Fax
(657) 244-8183
NPI assigned
Jan 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Hung Dang Vo, PHARM.D.NPI 1841576592
Title
Pic/President
Phone
(657) 616-0976

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Specialty Pharmacy 3336S0011X Primary

Addresses

Primary practice location

9430 Warner Ave Ste G
Fountain Valley, CA 92708-2826

Mailing address

9430 Warner Ave Ste G
Fountain Valley, CA 92708-2826
Phone (657) 616-0976

Other identifiers 1

IdentifierTypeStateIssuer
PHY59594OtherCABOARD OF PHARMACY

Other names 1

  • Spectrum Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171107002771 CA DME Supplier - Pharmacy 3375809346 Practice locations: Fountain Valley, CA
O20210318002837 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3375809346 Practice locations: Irvine, 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
Spectrum Pharmacy9430 Warner Ave, Fountain Valley, CA 92708-2826(657) 616-0976 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Aug 10, 2017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1174060248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9430 WARNER AVE STE G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082826",
            "telephone_number": "657-616-0976",
            "fax_number": "657-244-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9430 WARNER AVE STE G",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082826",
            "telephone_number": "657-616-0976",
            "fax_number": "657-244-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "VO",
        "authorized_official_first_name": "HUNG",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "PIC/PRESIDENT",
        "authorized_official_telephone_number": "657-616-0976",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail 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": "PHY59594",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.