Organization Active NPI

Khanh Pharmacy

  • Pharmacy Technician
  • San Diego, CA
National Provider Identifier
1417932807
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
TCH 31900 Issued in CA
Legal business name
KHANH PHARMACY
Practice address
4575 El Cajon Blvd.
Ste#C
San Diego, CA 92115-4390
Phone
(619) 280-0199
Fax
(619) 280-0089
NPI assigned
Dec 8, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Diana Le, RPH
Title
Pharmacist, Partner
Phone
(619) 280-0199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 46144 CA
Pharmacy Technician 183700000X TCH 31900 CA Primary

Addresses

Primary practice location

4575 El Cajon Blvd.
Ste#C
San Diego, CA 92115-4390

Mailing address

4575 El Cajon Blvd.
Ste#C
San Diego, CA 92115-4390
Phone (619) 280-0199

Other identifiers 1

IdentifierTypeStateIssuer
PHY454530MedicaidCA

National Provider Directory

National Provider Directory

Locations

4575 El Cajon Blvd
San Diego, CA 92115
Phone (619) 280-0199

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1417932807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 EL CAJON BLVD.",
            "address_2": "STE#C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154390",
            "telephone_number": "619-280-0199",
            "fax_number": "619-280-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 EL CAJON BLVD.",
            "address_2": "STE#C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154390",
            "telephone_number": "619-280-0199",
            "fax_number": "619-280-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHANH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PHARMACIST, PARTNER",
        "authorized_official_telephone_number": "619-280-0199",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 46144",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH 31900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY454530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.