Organization Active NPI

Phi Phnom Pharmacy Inc

Doing business as New Phnom Pich Pharmacy

  • Pharmacy
  • Long Beach, CA
National Provider Identifier
1346833746
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

Name
Phi Nguyen, PHARMDNPI 1760868731
Title
Pic/President
Phone
(240) 938-0753

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

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

Mailing address

2100 E Anaheim St Ste a
Long Beach, CA 90804-3419
Phone (562) 434-7559

Other names 1

  • New Phnom Pich Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2100 E Anaheim St
Ste A
Long Beach, CA 90804
Phone (240) 938-0753

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Phnom Pich Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

  • 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.