Pharmacy at the Courts LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY AT THE COURTS LLC

Doing business as

Green Valley Pharmacy

Practice address

8237 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0717

Phone

(909) 980-0999

Fax

(909) 980-1099

NPI assigned

Mar 14, 2019

Organization subpart

No

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

Authorized official

Name

Sylvia Moc, CPA

Title

Cfo

Phone

(909) 980-0999

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Valley Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Wai Tai Wong, RPH, APH

  • Pharmacist
  • Rancho Cucamonga, CA
  • NPI 1063825271
  NPD

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1407315997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 ROCHESTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300717",
            "telephone_number": "909-980-0999",
            "fax_number": "909-980-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 ROCHESTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300717",
            "telephone_number": "909-980-0999",
            "fax_number": "909-980-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY AT THE COURTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "MOC",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-980-0999",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407315997",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Valley Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tuan A Pham, M.D.
• Annie Phan, PA-C
• Cong Thanh Phan, M.D.
• Kevin HT Phan, MD
• Michelle C Phan, O.D.
• Norma Phelps
• Adeola Philip-Aimufia
• Sarah Kasham Philips
• Geralyn Marie Phillips, PHD
• Jasmine M Phillips

• Community/Retail Pharmacy in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.