Organization Active NPI

P & T Venture Inc

  • Community/Retail Pharmacy
  • Fountain Valley, CA
National Provider Identifier
1437520558
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53300 Issued in CA
Legal business name
P & T VENTURE INC
Practice address
16055-D Brookhurst St
Fountain Valley, CA 92708-1544
Phone
(714) 531-1888
Fax
(714) 531-0588
NPI assigned
Oct 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Mr. Phillip Phuc Huy Dang Nguyen, PHARM.D, MBANPI 1083862635
Title
President / Pharmacist
Phone
(714) 531-1888

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53300 CA Primary

Addresses

Primary practice location

16055-D Brookhurst St
Fountain Valley, CA 92708-1544

Mailing address

16055-D Brookhurst St
Fountain Valley, CA 92708-1544
Phone (714) 531-1888

Other identifiers 2

IdentifierTypeStateIssuer
1437520558MedicaidCA
5657385OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • QLT CARE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181217000395 CA DME Supplier - Pharmacy 0244472942 Practice locations: Fountain Valley, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
P T Venture Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16055 Brookhurst St
Ste D
Fountain Valley, CA 92708
Phone (714) 531-1888

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": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1437520558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055-D BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081544",
            "telephone_number": "714-531-1888",
            "fax_number": "714-531-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055-D BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081544",
            "telephone_number": "714-531-1888",
            "fax_number": "714-531-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P & T VENTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "DANG NGUYEN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "PHUC HUY",
        "authorized_official_title_or_position": "PRESIDENT / PHARMACIST",
        "authorized_official_telephone_number": "714-531-1888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D, MBA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437520558",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5657385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QLT CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.