T&T Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

T&T PHARMACY LLC

Doing business as

Prodigy Specialty Pharmacy

Practice address

1216 W Avenue J Ste 100
Lancaster, CA 93534-2944

Phone

(909) 362-0315

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Pham, PHARMDNPI 1508300799

Title

Owner

Phone

(909) 362-0315

Specialties & licenses 2

Addresses

Other names 1

• Prodigy Specialty Pharmacy Doing business as

Locations

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.

• Kelly Kim Dung Pham, PHARMD

  • Pharmacist
  • Highland, CA
  • NPI 1508300799
  Authorized official Same address or phone

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1295527463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43942 WINDROSE PL",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935365562",
            "telephone_number": "909-362-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W AVENUE J STE 100",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342944",
            "telephone_number": "909-362-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&T PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-362-0315",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodigy Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Khadija Sy
• Arthur Andrew Szoke
• T.L.C. Non Emergency Medical Transportation
• T&J Unlimited Transportation
• T&J Unlimited Transportation Inc
• Tab a Boyle DDS
• Pedro Tafolla
• Shelmalyne Lisua Tagabuel
• Rosavilla Anuta Tagaro, MSN, APRN, FNP-C
• Benyamin Taghvaei, DMD

• Long Term Care Pharmacy in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.