Active NPI
Phnom Pich Pharmacy Inc
- Community/Retail Pharmacy
- Long Beach, CA
National Provider Identifier
1295805430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48907
- Legal business name
- PHNOM PICH PHARMACY INC
- Doing business as
- Phnom Pich Pharmacy Inc
- Practice address
- 2338 E Anaheim St
Suite 100
Long Beach, CA 90804-5730 - Phone
- (562) 438-3324
- Fax
- (562) 987-1801
- NPI assigned
- Nov 8, 2006
- 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
- Puthik Sanui
- Title
- Secretary
- Phone
- (562) 438-3324
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PHY48907 | CA | Primary |
Addresses
Primary practice location
2338 E Anaheim St
Suite 100
Long Beach, CA 90804-5730
Mailing address
2338 E Anaheim St
Suite 100
Long Beach, CA 90804-5730
Phone (562) 438-3324
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992188 | Other | PK | |
| PHA47330 | Medicaid | CA |
Other names 1
- PHNOM PICH PHARMACY INC
National Provider Directory
National Provider DirectoryLocations
2338 E Anaheim St
Ste 100
Long Beach, CA 90804
Phone (562) 438-3324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1295805430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2338 E ANAHEIM ST",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908045730",
"telephone_number": "562-438-3324",
"fax_number": "562-987-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2338 E ANAHEIM ST",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908045730",
"telephone_number": "562-438-3324",
"fax_number": "562-987-1801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHNOM PICH PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "SANUI",
"authorized_official_first_name": "PUTHIK",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "562-438-3324"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY48907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "1992188",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA47330",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHNOM PICH PHARMACY INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PHNOM PICH PHARMACY INC",
"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 Sep 19, 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.