Organization Active NPI

T & G Healthcare Inc

Doing business as El Monte Pharmacy

  • Community/Retail Pharmacy
  • El Monte, CA
National Provider Identifier
1568477180
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48958 Issued in CA
Legal business name
T & G HEALTHCARE INC
Doing business as
El Monte Pharmacy
Practice address
3948 Peck Rd
Suite A1-A2
El Monte, CA 91732-2255
Phone
(626) 448-2507
Fax
(626) 448-2576
NPI assigned
Jul 30, 2006
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Khanh-Long Thai, PHARM.D.
Title
Chief Executive Officer
Phone
(626) 448-2507

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY48958 CA Primary

Addresses

Primary practice location

3948 Peck Rd
Suite A1-A2
El Monte, CA 91732-2255

Mailing address

3948 Peck Rd
Suite A1-A2
El Monte, CA 91732-2255
Phone (626) 448-2507

Other identifiers 2

IdentifierTypeStateIssuer
2114106OtherPK
1568477180MedicaidCA

Other names 1

  • El Monte Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930035638 CA DME Supplier - Pharmacy 2961609540 Practice locations: El Monte, CA
O20140708001597 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2961609540 1 other NPI on this enrollment
Practice locations: El Monte, CA; Mission Viejo, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3948 Peck Rd
Ste A1A2
El Monte, CA 91732
Phone (626) 448-2507

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1568477180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 PECK RD",
            "address_2": "SUITE A1-A2",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322255",
            "telephone_number": "626-448-2507",
            "fax_number": "626-448-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 PECK RD",
            "address_2": "SUITE A1-A2",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917322255",
            "telephone_number": "626-448-2507",
            "fax_number": "626-448-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T & G HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "KHANH-LONG",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "626-448-2507",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2114106",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568477180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Monte Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.