Organization Active NPI

TH Pharmaceuticals, Inc.

  • Pharmacy
  • Pomona, CA
National Provider Identifier
1619969201
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY37150 Issued in CA
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

Updated by the provider on Oct 3, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHA371500MedicaidCA

Other names 1

  • Holt Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.