NSN Family Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53611 Issued in CA

Legal business name

NSN FAMILY INC

Practice address

33490 Oak Glen Rd Ste E
Yucaipa, CA 92399-2095

Phone

(909) 570-9771

Fax

(909) 570-9718

NPI assigned

Aug 29, 2015

Organization subpart

No

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

Authorized official

Name

Salan ThongNPI 1356732127

Title

President

Phone

(909) 570-9771

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• YUCAIPA CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Salan So Thong, PHARMD.

  • Pharmacist
  • Yucaipa, CA
  • NPI 1356732127
  NPD Authorized official

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

{
    "created_epoch": "1440806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1326415985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33490 OAK GLEN RD STE E",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992095",
            "telephone_number": "909-570-9771",
            "fax_number": "909-570-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33490 OAK GLEN RD STE E",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923992095",
            "telephone_number": "909-570-9771",
            "fax_number": "909-570-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NSN FAMILY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-29",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "THONG",
        "authorized_official_first_name": "SALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-570-9771"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154353",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YUCAIPA CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neonatology Medical Group, Inc
• Ngab Medical Corp
• Anthony Nguyen
• Quinn Nguyen
• NSN Family Inc
• Angela Nuristani
• Gracelyn Phoenix Oak
• Rafael Ocampo
• Autumn Jean Oconnell
• Ekene Odimegwu, PHARM.D

• Community/Retail Pharmacy in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.