Tat Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TAT PHARMACY, INC

Doing business as

Garden Pharmacy

Practice address

9153 Garden Grove Blvd
Garden Grove, CA 92844-1308

Phone

(714) 583-8402

Fax

(714) 733-5668

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Vy T Hua

Title

Secretary/Owner/Authorized Official

Phone

(714) 878-3189

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Garden Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1184107500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9153 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441308",
            "telephone_number": "714-583-8402",
            "fax_number": "714-733-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9153 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441308",
            "telephone_number": "714-583-8402",
            "fax_number": "714-733-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "HUA",
        "authorized_official_first_name": "VY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SECRETARY/OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "714-878-3189"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "56183",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Victor A Tapia
• Maryjane Tarango
• Thien T Tarin, MD
• Alex Tarver
• Tasneem Nabelsi DDS Inc
• Joann (Jody) Eileen Tate, M.S.,OTR/L
• Vanessa Denise Tatum, M.D.
• Murray Taubman, O.D.
• Mearedey Tauch
• Seid Amir Farzan Tavakkoli Isfahani, PHARMD

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 3, 2021; 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.