Phi Phnom Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

PHI PHNOM PHARMACY INC

Doing business as

New Phnom Pich Pharmacy

Practice address

2100 E Anaheim St Ste a
Long Beach, CA 90804-3419

Phone

(562) 434-7559

Fax

(408) 434-3849

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Phi Nguyen, PHARMD

Title

Pic/President

Phone

(240) 938-0753

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• New Phnom Pich Pharmacy Doing business as

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1346833746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E ANAHEIM ST STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043419",
            "telephone_number": "562-434-7559",
            "fax_number": "408-434-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E ANAHEIM ST STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043419",
            "telephone_number": "562-434-7559",
            "fax_number": "408-434-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI PHNOM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHI",
        "authorized_official_title_or_position": "PIC/PRESIDENT",
        "authorized_official_telephone_number": "240-938-0753",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649372053",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649372053",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Phnom Pich Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sokha Phe, NURSE PRACTITIONER
• Georgina Phelps, OTD, OTR/L
• Maura Elizabeth Phelps, MT-BC
• Paula Jean Phelps, LCSW
• Ismael Pheng
• Phi Phnom Pharmacy Inc
• Philip S Schauweker
• Philip S Schauweker D.P.M. Professional Podiatric Medicine Corporation
• Marissa Philip, NP-BC
• Ronald J. Philipp, D.O.

• Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.