Active NPI
Golden Pharmacy Corporation
- Community/Retail Pharmacy
- Westminster, CA
National Provider Identifier
1396836011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY38086
- Legal business name
- GOLDEN PHARMACY CORPORATION
- Practice address
- 10301 Bolsa Ave Ste 105
Westminster, CA 92683-6784 - Phone
- (714) 839-0256
- Fax
- (714) 839-1704
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Truong Nguyen
- Title
- Manager
- Phone
- (714) 839-0256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY38086 | CA | Primary |
Addresses
Primary practice location
10301 Bolsa Ave Ste 105
Westminster, CA 92683-6784
Mailing address
10301 Bolsa Ave Ste 105
Westminster, CA 92683-6784
Phone (714) 839-0256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY38086 | Other | CA | STATE LICENCE |
| PHA380860 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930022270 | CA | DME Supplier - Pharmacy | 8123149846 | Practice locations: Westminster, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Golden Pharmacy | Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
10301 Bolsa Ave
Ste 105
Westminster, CA 92683
Phone (714) 839-0256
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Bakersfield, CA
- NPI 1669563474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1396836011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10301 BOLSA AVE STE 105",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836784",
"telephone_number": "714-839-0256",
"fax_number": "714-839-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10301 BOLSA AVE STE 105",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926836784",
"telephone_number": "714-839-0256",
"fax_number": "714-839-1704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN PHARMACY CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TRUONG",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "714-839-0256"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY38086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "PHY38086",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA380860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
- Global Dental Center Professional Corporation (Global Dental Center)
- Global Eyecare Optometry Inc
- Global Mednet LLC.
- Christy M Goff
- Golden Life Adult Day Care Services, Inc
- Amanda Gomez, MS, RDN
- Grisell Gomez
- Luis Alfredo Gonzalez
- Good Samaritan Chiropractic Inc
- Good Shepherd Pharmacy Inc (Good Shepherd Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.