Active NPI
T & G Healthcare Inc
Doing business as El Monte Pharmacy
- Community/Retail Pharmacy
- El Monte, CA
National Provider Identifier
1568477180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48958
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114106 | Other | PK | |
| 1568477180 | Medicaid | CA |
Other names 1
- El Monte Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Cal Med Pharmacy
- Community/Retail Pharmacy
- Long Beach, CA
- NPI 1316390552
O20140708001597
National Provider Directory
National Provider DirectoryLocations
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.