Canoga Pharmacy,Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH48165 Issued in CA

Legal business name

CANOGA PHARMACY,INC

Practice address

9646 Garvey Ave
Suite 103
S El Monte, CA 91733-1098

Phone

(626) 575-6012

Fax

(626) 575-6024

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Thuy Thi Nguyen, PHARMACIST

Title

President & Ceo

Phone

(626) 575-6012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255332565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE",
            "address_2": "SUITE 103",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917331098",
            "telephone_number": "626-575-6012",
            "fax_number": "626-575-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9646 GARVEY AVE",
            "address_2": "SUITE 103",
            "city": "S EL MONTE",
            "state": "CA",
            "postal_code": "917331098",
            "telephone_number": "626-575-6012",
            "fax_number": "626-575-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOGA PHARMACY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUY",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "626-575-6012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH48165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA432870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in S El Monte, CA
• Providers in S El Monte, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.