TLC Xpress Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY49837 Issued in CA

Legal business name

TLC XPRESS PHARMACY INC

Doing business as

TLC Xpress Pharmacy

Practice address

10810 Warner Ave
Ste 3-4
Fountain Valley, CA 92708-3848

Phone

(714) 465-2431

Fax

(714) 465-9744

NPI assigned

Mar 5, 2009

Last updated

Dec 23, 2015By 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

Kevin Tran, PHARM.D.NPI 1740643964

Title

President

Phone

(714) 465-2431

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• TLC Xpress Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Kevin Quang Tran, PHARM.D.

  • Pharmacist
  • Fountain Valley, CA
  • NPI 1740643964
  NPD Authorized official
• Jaylene Lu

  • Pharmacist
  • Fountain Valley, CA
  • NPI 1386223527
  NPD (past)
• Lucas Loc Tran, PHARMD

  • Pharmacist
  • Santa Ana, CA
  • NPI 1114764529
  NPD (past)

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1548400435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE",
            "address_2": "STE 3-4",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-465-2431",
            "fax_number": "714-465-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 WARNER AVE",
            "address_2": "STE 3-4",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083848",
            "telephone_number": "714-465-2431",
            "fax_number": "714-465-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC XPRESS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-465-2431",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548400435",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2119416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Xpress Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Lynn Tindle, R.D.
• Anahi Tinoco
• Calvin Z Tint, MD
• Mehran Tirandaz, M.D.
• TLC Xpress
• Yvonne Van Anh To, O.D.
• George Nobuhiko Tobo, LVN
• Theriault Jeanne Todd, PH.D.
• Lincoln Eugene Tom, M.D.
• Caroline Mai Tomongin, PHARM.D.

• Community/Retail Pharmacy in Fountain Valley, CA
• Providers in Fountain Valley, 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 Dec 23, 2015; 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.