Van RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

VAN RX INC

Doing business as

Van Pharmacy

Practice address

14441 Brookhurst St Ste 4
Garden Grove, CA 92843-4646

Phone

(714) 775-1789

Fax

(714) 775-0470

NPI assigned

Oct 2, 2006

Last updated

Oct 30, 2019By 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

Ms. Lisa Ngoc Nguyen, PHARM.D.NPI 1821362203

Title

Ceo/Pic

Phone

(714) 775-1789

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• VAN PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Lisa Ngoc Nguyen, PHARM.D.

  • Pharmacist
  • Garden Grove, CA
  • NPI 1821362203
  NPD Authorized official

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1588758031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 BROOKHURST ST STE 4",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434646",
            "telephone_number": "714-775-1789",
            "fax_number": "714-775-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 BROOKHURST ST STE 4",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434646",
            "telephone_number": "714-775-1789",
            "fax_number": "714-775-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "714-775-1789",
        "authorized_official_name_prefix": "Ms.",
        "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": "PHY39430",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Managed Care Organization Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0543771",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA394300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VAN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie C. Valmonte, M.A., OTR/L
• Margaret Van Ackeren, MA, MFT
• Belinda Dee Van Allen, CDC, RRW
• Alec Van Hoogenstyn
• Elise Noelle Van Huisen
• Lucia Van Sant
• James Scott Van Wilgen Moore, AMFT158678
• John Phu Van, D.D.S.
• Thienan Van
• Thu Kim Van, D.P.M.

• Community/Retail Pharmacy in Garden Grove, CA
• Providers in Garden Grove, 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 Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.