NPIMap

Organization Active NPI

West Group Pharmaceutical Corp

Doing business as Procare LTC

  • Long Term Care Pharmacy
  • Garden Grove, CA
National Provider Identifier
1265173165
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
WEST GROUP PHARMACEUTICAL CORP
Doing business as
Procare LTC
Practice address
9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone
(714) 899-1111
Fax
(714) 890-9073
NPI assigned
Apr 5, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Dr. Chau Ngoc Thanh Phan, RPHNPI 1225682925
Title
President/Pharmacist-in-Charge
Phone
(714) 899-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

9191 Westminster Ave
Garden Grove, CA 92844-2751

Mailing address

9191 Westminster Ave
Garden Grove, CA 92844-2751
Phone (714) 899-1111

Other identifiers 1

IdentifierTypeStateIssuer
PHA471250MedicaidCA

Other names 1

  • PROCARE LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Group Pharmaceutical Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1265173165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-899-1111",
            "fax_number": "714-890-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442751",
            "telephone_number": "714-899-1111",
            "fax_number": "714-890-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GROUP PHARMACEUTICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "CHAU",
        "authorized_official_middle_name": "NGOC THANH",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "714-899-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA471250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROCARE LTC",
            "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 Jun 1, 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.

Verify at the official NPI Registry.