Active Care Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

55862 Issued in CA

Legal business name

ACTIVE CARE PHARMACY INC

Doing business as

Active Care Pharmacy

Practice address

11770 Warner Ave Ste 101
Fountain Valley, CA 92708-2659

Phone

(714) 733-7930

Fax

(714) 951-9333

NPI assigned

Jan 19, 2018

Last updated

Nov 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyrone Nguyen

Title

Ceo/Owner

Phone

(714) 733-7930

Specialties & licenses 1

Addresses

Other names 1

• ACTIVE CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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.

• Michelle Nguyen

  • Pharmacist
  • Anaheim, CA
  • NPI 1669054326
  NPD (past)
• Duc Trang, PHARMD

  • Pharmacist
  • Fountain Valley, CA
  • NPI 1932614971
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1477061745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 WARNER AVE STE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082659",
            "telephone_number": "714-733-7930",
            "fax_number": "714-951-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 WARNER AVE STE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082659",
            "telephone_number": "714-733-7930",
            "fax_number": "714-951-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "714-733-7930"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "55862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACTIVE CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith Ryan Aceron, DPM
• Acessmd Medical Group, Inc
• Cecilia Rosete Acosta
• Olivia Marie Acosta
• Victoria A Acosta
• Adam Wong MD Inc
• Carol Ann Adams, R.D.
• Jan Rudalgo Adams, M.D.
• Bailey Adling, PPSC
• Maricela Adrian

• Long Term Care Pharmacy in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Long Term Care Pharmacy in California

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