Organization Active NPI

Avb Pharma Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1205218773
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
AVB PHARMA INC
Practice address
10741 Westminster Ave Ste 102
Garden Grove, CA 92843-3398
Phone
(714) 530-2888
Fax
(714) 530-4777
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Authorized official

Name
Valerie Nguyen
Title
Ceo
Phone
(714) 530-2888

Specialties & licenses 1

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

Addresses

Primary practice location

10741 Westminster Ave Ste 102
Garden Grove, CA 92843-3398

Mailing address

10741 Westminster Ave # C
Garden Grove, CA 92843-4919
Phone (714) 530-2888

Other identifiers 2

IdentifierTypeStateIssuer
PHY 53295OtherCASTATE BOARD OF PHARMACY
56-56004OtherCANCPDP PROVIDER

Other names 1

  • Caremax Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130001227 CA DME Supplier - Pharmacy 4981133378 Practice locations: Garden Grove, 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
Caremax Pharmacy10741 Westminster Ave, Garden Grove, CA 92843-3398(714) 530-2888 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 24, 2025

National Provider Directory

National Provider Directory

Locations

10741 Westminster Ave
#C
Garden Grove, CA 92843

10741 Westminster Ave
Ste 102
Garden Grove, CA 92843
Phone (714) 530-2888

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": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726704000000",
    "number": "1205218773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 WESTMINSTER AVE # C",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434919",
            "telephone_number": "714-530-2888",
            "fax_number": "714-530-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10741 WESTMINSTER AVE STE 102",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433398",
            "telephone_number": "714-530-2888",
            "fax_number": "714-530-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVB PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-530-2888"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "PHY 53295",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "56-56004",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caremax Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; 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.