NTM Pharmacy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

PHY46249 Issued in CA

Legal business name

NTM PHARMACY

Practice address

2317 E Anaheim St
Long Beach, CA 90804

Phone

(562) 621-0838

Fax

(562) 621-9020

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Duong D Vu

Title

Vice President

Phone

(714) 478-5704

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1306821301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-621-0838",
            "fax_number": "562-621-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90804",
            "telephone_number": "562-621-0838",
            "fax_number": "562-621-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NTM PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "DUONG",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "714-478-5704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "PHY46249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Novus Mindful Life Institute
• Now Clinical Family Services, Licensed Clinical Social Worker, Inc
• Now Therapy Haven Licensed Clinical Social Worker, PC
• Eden Soliel Nowak
• Robert Noyes
• Daryl Hidalgo Nucum, M.D.
• Kate O'Shaughnessy Nulty, LCSW
• Georgina Nunez Leon
• Gloria Natalia Nunez, MS
• Karen Nunez

• Clinic/Center in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.