Organization Active NPI

Golden Pharmacy Corporation

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1396836011
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY38086 Issued in CA
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

Updated by the provider on Jun 11, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY38086OtherCASTATE LICENCE
PHA380860MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930022270 CA DME Supplier - Pharmacy 8123149846 Practice locations: Westminster, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Golden Pharmacy10301 Bolsa Ave, Westminster, CA 92683-6784(714) 839-0256 Blood Glucose Monitors/Supplies (Non-Mail Order)|Canes and/or Crutches|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.