Organization Active NPI

ZZ Farmacy Inc

  • Pharmacy
  • Westminster, CA
National Provider Identifier
1548763584
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY55898 Issued in CA
Legal business name
ZZ FARMACY INC
Practice address
14516 Brookhurst St
Westminster, CA 92683-5750
Phone
(714) 531-5502
NPI assigned
Mar 15, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Eric Phan, PHARMACIST
Title
Ceo
Phone
(714) 531-5502

National Provider Directory

National Provider Directory
Tax ID family
Binh Dan Pharmacy2 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.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY55898 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

14516 Brookhurst St
Westminster, CA 92683-5750

Mailing address

14516 Brookhurst St
Westminster, CA 92683-5750
Phone (714) 531-5502

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PHY390760MedicaidCA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2018.

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1548763584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14516 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835750",
            "telephone_number": "714-531-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14516 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835750",
            "telephone_number": "714-531-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZZ FARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-531-5502",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY55898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY390760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; 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.