Organization Active NPI

NTN Pharmacy Inc

  • Community/Retail Pharmacy
  • Fontana, CA
National Provider Identifier
1306907134
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48721 Issued in CA
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

Updated by the provider on Dec 7, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1306907134MedicaidCA

Other names 1

  • Finley's Rexall Drug Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.