Andrew Minh DO

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50949 Issued in CA

Legal business name

ANDREW MINH DO

Doing business as

Baja Pharmacy

Practice address

4028 E 7TH St
Long Beach, CA 90804-5307

Phone

(562) 433-3800

Fax

(562) 433-3900

NPI assigned

Apr 23, 2012

Organization subpart

No

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

Authorized official

Name

Andrew DO

Title

Owner

Phone

(702) 354-7578

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Baja Pharmacy Doing business as

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1235496654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045307",
            "telephone_number": "562-433-3800",
            "fax_number": "562-433-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 E 7TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045307",
            "telephone_number": "562-433-3800",
            "fax_number": "562-433-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW MINH DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-354-7578"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5643639",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baja Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, 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 Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.