Organization Active NPI

Tvo Pharmacy Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1316922198
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 51851 Issued in CA
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

Updated by the provider on Apr 27, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05-27121OtherCANCPDP
1316922198MedicaidCA

Other names 1

  • An pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These 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

SupplierSuppliesMedicare assignment
An Pharmacy10963 Westminster Ave, Garden Grove, CA 92843-4929(714) 638-5565 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jan 6, 2015

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.