Organization Active NPI

QTK Healthcare Inc

  • Pharmacy
  • Rosemead, CA
National Provider Identifier
1366263642
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
QTK HEALTHCARE INC
Doing business as
986 Pharmacy #8030
Practice address
9008 Garvey Ave Ste a
Rosemead, CA 91770-3370
Phone
(626) 427-1302
Fax
(626) 469-5740
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Mr. Quang K Thai, PHARM. D.
Title
Pharmacist
Phone
(626) 456-3862

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

9008 Garvey Ave Ste a
Rosemead, CA 91770-3370

Mailing address

9008 Garvey Ave Ste a
Rosemead, CA 91770-3370
Phone (626) 427-1302

Other names 1

  • 986 Pharmacy #8030 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250113001203 CA Part B Supplier - Pharmacy 2264960798 Practice locations: Rosemead, CA
O20250213001039 CA DME Supplier - Pharmacy 2264960798 Practice locations: Rosemead, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2315239986 Pharmacy 80309008 Garvey Ave Ste a, Rosemead, CA 91770Certificate of waiverDec 8, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
986 Pharmacy #80309008 Garvey Ave, Rosemead, CA 91770-3370(626) 427-1302 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Nov 9, 2024

National Provider Directory

National Provider Directory

Locations

9008 Garvey Ave
Rosemead, CA 91770

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1366263642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 GARVEY AVE STE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703370",
            "telephone_number": "626-427-1302",
            "fax_number": "626-469-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 GARVEY AVE STE A",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703370",
            "telephone_number": "626-427-1302",
            "fax_number": "626-469-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QTK HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "QUANG",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "626-456-3862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8030",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.