Active NPI
Galaxy Pharmacy Inc
- Community/Retail Pharmacy
- Long Beach, CA
National Provider Identifier
1255083093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GALAXY PHARMACY INC
- Doing business as
- GALAXY PHARMACY
- Practice address
- 1360 E Anaheim St Ste 106
Long Beach, CA 90813-5516 - Phone
- (562) 336-1200
- Fax
- (562) 336-1391
- NPI assigned
- Jan 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Than Vo, PHARM D
- Title
- President/Ceo
- Phone
- (562) 336-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1360 E Anaheim St Ste 106
Long Beach, CA 90813-5516
Mailing address
1360 E Anaheim St Ste 106
Long Beach, CA 90813-5516
Phone (562) 336-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY57879 | Other | CA | BOARD OF PHARMACY |
Other names 1
- GALAXY PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Galaxy Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Long Beach, CA
- NPI 1811392418
Locations
1360 E Anaheim St
Ste 106
Long Beach, CA 90813
Phone (562) 336-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bellflower, CA
- NPI 1801172499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642982400000",
"number": "1255083093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E ANAHEIM ST STE 106",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908135516",
"telephone_number": "562-336-1200",
"fax_number": "562-336-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 E ANAHEIM ST STE 106",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908135516",
"telephone_number": "562-336-1200",
"fax_number": "562-336-1391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALAXY PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "VO",
"authorized_official_first_name": "KENNY",
"authorized_official_middle_name": "THAN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "562-336-1200",
"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": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "PHY57879",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GALAXY PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.