Organization Active NPI

Normandy Healthcare Inc

  • Community/Retail Pharmacy
  • Los Angeles, CA
National Provider Identifier
1629083274
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50625 Issued in CA
Legal business name
NORMANDY HEALTHCARE INC
Practice address
3003 W Olympic Blvd
Ste 101
Los Angeles, CA 90006-6500
Phone
(213) 386-3001
Fax
(213) 386-1416
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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
Ceo
Phone
(213) 386-3001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50625 CA Primary

Addresses

Primary practice location

3003 W Olympic Blvd
Ste 101
Los Angeles, CA 90006-6500

Mailing address

2476 Huntington Dr
San Marino, CA 91108-2643
Phone (626) 399-0278

Other identifiers 2

IdentifierTypeStateIssuer
1629083274MedicaidCA
2130255OtherPK

Other names 2

  • 986 Pharmacy #8041 Doing business as
  • Normandy Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3003 W Olympic Blvd
Ste 101
Los Angeles, CA 90006
Phone (213) 386-3001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1781136000000",
    "number": "1629083274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082643",
            "telephone_number": "626-399-0278",
            "fax_number": "626-399-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 W OLYMPIC BLVD",
            "address_2": "STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900066500",
            "telephone_number": "213-386-3001",
            "fax_number": "213-386-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMANDY HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "KHANH-LONG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-386-3001",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629083274",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "986 Pharmacy #8041",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Normandy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.