Phi Phnom Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHI PHNOM PHARMACY INC

Doing business as

New Phnom Pich Pharmacy

Practice address

2100 E Anaheim St
Ste a
Long Beach, CA 90804-3408

Phone

(562) 434-7559

Fax

(562) 434-3849

NPI assigned

Sep 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Phi Tien Nguyen, PHARMD

Title

President

Phone

(562) 434-7559

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• New Phnom Pich Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1649372053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 E ANAHEIM ST",
            "address_2": "STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E ANAHEIM ST",
            "address_2": "STE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043408",
            "telephone_number": "562-434-7559",
            "fax_number": "562-434-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI PHNOM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHI",
        "authorized_official_middle_name": "TIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-434-7559",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA407540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0526802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0526802",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Phnom Pich Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgina Phelps, OTD, OTR/L
• Maura Elizabeth Phelps, MT-BC
• Paula Jean Phelps, LCSW
• Ismael Pheng
• Phi Phnom Pharmacy Inc
• Philip S Schauweker
• Philip S Schauweker D.P.M. Professional Podiatric Medicine Corporation
• Marissa Philip, NP-BC
• Ronald J. Philipp, D.O.
• Dawnedra Phillips

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, 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 Apr 4, 2022; 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.

Verify at the official NPI Registry.