Active NPI
TH Pharmaceuticals, Inc.
- Pharmacy
- Pomona, CA
National Provider Identifier
1619969201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY37150
- Legal business name
- TH PHARMACEUTICALS, INC.
- Practice address
- 1101 E Holt Ave
Suite F
Pomona, CA 91767-5800 - Phone
- (909) 620-1011
- Fax
- (909) 620-1011
- NPI assigned
- Aug 18, 2005
- 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
- Mr. Giang L. Ha
- Title
- Pharmacist
- Phone
- (909) 620-1011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY37150 | CA | Primary |
Addresses
Primary practice location
1101 E Holt Ave
Suite F
Pomona, CA 91767-5800
Mailing address
1101 E Holt Ave
Suite F
Pomona, CA 91767-5800
Phone (909) 620-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA371500 | Medicaid | CA |
Other names 1
- Holt Pharmacy
National Provider Directory
National Provider DirectoryLocations
1101 E Holt Ave
Ste F
Pomona, CA 91767
Phone (909) 620-1011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1619969201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E HOLT AVE",
"address_2": "SUITE F",
"city": "POMONA",
"state": "CA",
"postal_code": "917675800",
"telephone_number": "909-620-1011",
"fax_number": "909-620-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E HOLT AVE",
"address_2": "SUITE F",
"city": "POMONA",
"state": "CA",
"postal_code": "917675800",
"telephone_number": "909-620-1011",
"fax_number": "909-620-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TH PHARMACEUTICALS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-18",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "HA",
"authorized_official_first_name": "GIANG",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "909-620-1011",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "PHY37150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA371500",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holt Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.