Organization Active NPI

Warner Plaza Pharmacy

  • Community/Retail Pharmacy
  • Fountain Valley, CA
National Provider Identifier
1386754596
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY38162 Issued in CA
Legal business name
WARNER PLAZA PHARMACY
Practice address
10810 Warner Ave
Suite #9
Fountain Valley, CA 92708-3848
Phone
(714) 965-1008
Fax
(714) 965-7530
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Mrs. Han T Nguyen, RPH
Title
Pharmacist
Phone
(714) 965-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY38162 CA Primary

Addresses

Primary practice location

10810 Warner Ave
Suite #9
Fountain Valley, CA 92708-3848

Mailing address

10810 Warner Ave
Suite #9
Fountain Valley, CA 92708-3848
Phone (714) 965-1008

Other identifiers 1

IdentifierTypeStateIssuer
PHA381620MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1386754596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE",
            "address_2": "SUITE #9",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-965-1008",
            "fax_number": "714-965-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE",
            "address_2": "SUITE #9",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-965-1008",
            "fax_number": "714-965-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER PLAZA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "714-965-1008",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY38162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA381620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.