Active NPI
NTN Pharmacy Inc
- Community/Retail Pharmacy
- Fontana, CA
National Provider Identifier
1306907134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48721
- Legal business name
- NTN PHARMACY INC
- Doing business as
- Finley's Rexall Drug
- Practice address
- 8554 Sierra Ave
Fontana, CA 92335-3840 - Phone
- (909) 822-2288
- Fax
- (909) 822-2113
- NPI assigned
- Dec 13, 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
- Mr. Binh Tan Nguyen, PHARM.D
- Title
- Owner
- Phone
- (909) 822-2288
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY48721 | CA | Primary |
Addresses
Primary practice location
8554 Sierra Ave
Fontana, CA 92335-3840
Mailing address
8554 Sierra Ave
Fontana, CA 92335-3840
Phone (909) 822-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306907134 | Medicaid | CA |
Other names 1
- Finley's Rexall Drug
National Provider Directory
National Provider DirectoryLocations
8554 Sierra Ave
Fontana, CA 92335
Phone (909) 822-2288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1306907134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8554 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353840",
"telephone_number": "909-822-2288",
"fax_number": "909-822-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8554 SIERRA AVE",
"city": "FONTANA",
"state": "CA",
"postal_code": "923353840",
"telephone_number": "909-822-2288",
"fax_number": "909-822-2113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NTN PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "BINH",
"authorized_official_middle_name": "TAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "909-822-2288",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARM.D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY48721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1306907134",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Finley's Rexall Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.