Organization Active NPI

Viet Town Pharmacy

  • Pharmacy
  • San Jose, CA
National Provider Identifier
1437502523
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY54955 Issued in CA
Legal business name
VIET TOWN PHARMACY
Doing business as
Viet Town Pharmacy
Practice address
999 Story Rd Unit 9024
San Jose, CA 95122-4604
Phone
(408) 728-2407
NPI assigned
Jul 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Khoa Pham, RPHNPI 1194178277
Title
President/Treasurer
Phone
(408) 728-2407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY54955 CA Primary
Community/Retail Pharmacy 3336C0003X

Addresses

Primary practice location

999 Story Rd Unit 9024
San Jose, CA 95122-4604

Mailing address

5669 Morningside Dr
San Jose, CA 95138-2229
Phone (408) 728-2407

Other identifiers 1

IdentifierTypeStateIssuer
2164672OtherPK

Other names 1

  • Viet Town Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617000493 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9032652227 Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

999 Story Rd
Unit 9024
San Jose, CA 95122
Phone (408) 610-9993

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1437502523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 MORNINGSIDE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382229",
            "telephone_number": "408-728-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 STORY RD UNIT 9024",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951224604",
            "telephone_number": "408-728-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIET TOWN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KHOA",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "408-728-2407",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY54955",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164672",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viet Town Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.