Nordahl Pharmacy Corp

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

NORDAHL PHARMACY CORP

Doing business as

Nordahl Pharmacy

Practice address

740 Nordahl Rd Ste 120
San Marcos, CA 92069-3545

Phone

(760) 501-0030

Fax

(760) 501-0440

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tuan Quoc Vu, PHARM DNPI 1659657609

Title

President/Pic

Phone

(760) 501-0030

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORDAHL PHARMACY Doing business as

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.

• Tuan Quoc Vu, RPH

  • Pharmacist
  • San Diego, CA
  • NPI 1659657609
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1346881414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 NORDAHL RD STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693545",
            "telephone_number": "760-501-0030",
            "fax_number": "760-501-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 NORDAHL RD STE 120",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693545",
            "telephone_number": "760-501-0030",
            "fax_number": "760-501-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORDAHL PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "760-501-0030",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY PERMIT",
            "identifier": "57150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORDAHL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Meredith Nitecki, OTR/L
• Lechi Nkwocha, DPT
• Twila A Noble, N.P.-C
• Robyn Lynn Nolta, LMFT
• Nordahl Dental Inc
• Nordahl Pharmacy Corp (Nordahl Pharmacy)
• Nordahl RX, Inc. (Nordahl Pharmacy)
• North County Eye Center, Inc.
• North County Health Project Inc (TrueCare)
• North County Health Project Inc (TrueCare)

• Long Term Care Pharmacy in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.