Titan Health Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

TITAN HEALTH PHARMACY LLC

Practice address

1206 W Avenue J Ste 101
Lancaster, CA 93534-2956

Phone

(909) 362-0315

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Kelly PhamNPI 1508300799

Title

President

Phone

(909) 362-0315

Specialties & licenses 1

Addresses

Other names 1

• UNI 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.

• Kelly Kim Dung Pham, PHARMD

  • Pharmacist
  • Highland, CA
  • NPI 1508300799
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1306565528",
    "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": "1206 W AVENUE J STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342956",
            "telephone_number": "909-362-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TITAN HEALTH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-362-0315"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica G Tillett
• Tim Corvino MD a Medical Corporation
• Timelist Group, Inc.
• Timothy D. Bulgarelli
• Karen H Tison, M.D.
• January Tiu, FNP-C
• TND Healthcare Corp
• Rosa Toj
• Joan Barro Tolentino
• Kelly Ann Tomasulo, D.C.

• Community/Retail Pharmacy in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.