Organization Active NPI

H & N Pharmacy Inc

Doing business as Maxine Pharmacy

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1356774350
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51617 Issued in CA
Legal business name
H & N PHARMACY INC
Doing business as
Maxine Pharmacy
Practice address
10106 Westminster Ave
Garden Grove, CA 92843-4753
Phone
(714) 590-6046
Fax
(714) 590-6047
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Brian HuynhNPI 1669104253
Title
Owner / Pic
Phone
(714) 590-6046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY51617 CA Primary

Addresses

Primary practice location

10106 Westminster Ave
Garden Grove, CA 92843-4753

Mailing address

10106 Westminster Ave
Garden Grove, CA 92843-4753
Phone (714) 590-6046

Other identifiers 1

IdentifierTypeStateIssuer
1356774350MedicaidCA

Other names 1

  • Maxine Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230907002069 CA Part B Supplier - Pharmacy 1759754450 Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

10106 Westminster Ave
Garden Grove, CA 92843
Phone (714) 590-6046

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1356774350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434753",
            "telephone_number": "714-590-6046",
            "fax_number": "714-590-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 WESTMINSTER AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434753",
            "telephone_number": "714-590-6046",
            "fax_number": "714-590-6047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H & N PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER / PIC",
        "authorized_official_telephone_number": "714-590-6046"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356774350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxine 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 Aug 1, 2022; 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.