Active NPI
Tvo Pharmacy Inc
- Community/Retail Pharmacy
- Garden Grove, CA
National Provider Identifier
1316922198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY 51851
- Legal business name
- TVO PHARMACY INC
- Practice address
- 10963 Westminster Ave
Garden Grove, CA 92843-4929 - Phone
- (714) 638-5565
- Fax
- (714) 638-7048
- NPI assigned
- Dec 14, 2005
- 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. Toan Vo
- Title
- President/ Pic
- Phone
- (714) 638-5565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY 51851 | CA | Primary |
Addresses
Primary practice location
10963 Westminster Ave
Garden Grove, CA 92843-4929
Mailing address
10963 Westminster Ave
Garden Grove, CA 92843-4929
Phone (714) 638-5565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-27121 | Other | CA | NCPDP |
| 1316922198 | Medicaid | CA |
Other names 1
- An pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150320001179 | CA | DME Supplier - Pharmacy | 3375860844 | Practice locations: Garden Grove, CA |
| O20230120000553 | CA | Part B Supplier - Pharmacy | 3375860844 | Practice locations: Garden Grove, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| An Pharmacy | Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
10963 Westminster Ave
Garden Grove, CA 92843
Phone (714) 638-5565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651017600000",
"number": "1316922198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10963 WESTMINSTER AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434929",
"telephone_number": "714-638-5565",
"fax_number": "714-638-7048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10963 WESTMINSTER AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434929",
"telephone_number": "714-638-5565",
"fax_number": "714-638-7048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TVO PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A",
"authorized_official_last_name": "VO",
"authorized_official_first_name": "TOAN",
"authorized_official_title_or_position": "PRESIDENT/ PIC",
"authorized_official_telephone_number": "714-638-5565",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY 51851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "05-27121",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316922198",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "An pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "An pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.