Individual provider Active NPI

Henry Huynh, PHAMRD

  • Pharmacist
  • Pasadena, CA
National Provider Identifier
1235770769
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76464 Issued in CA
Practice address
3883 E Foothill Blvd
Pasadena, CA 91107-2204
Phone
(626) 351-0589
NPI assigned
Oct 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76464 CA Primary

Addresses

Primary practice location

3883 E Foothill Blvd
Pasadena, CA 91107-2204

Mailing address

1330 Potrero Grande Dr
Rosemead, CA 91770-4154

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cvs01778@cvshealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76464CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1235770769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 POTRERO GRANDE DR",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917704154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 E FOOTHILL BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911072204",
            "telephone_number": "626-351-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "PHAMRD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cvs01778@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "Store email",
            "address_1": "3883 E Foothill Blvd",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911072204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.