Organization Active NPI

Mekong Pharmacy

  • Community/Retail Pharmacy
  • Mesa, AZ
National Provider Identifier
1669120382
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEKONG PHARMACY
Practice address
333 S Dobson Rd Ste 100
Mesa, AZ 85202-1073
Phone
(480) 559-8688
NPI assigned
Mar 11, 2022
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Ms. Huy Nguyen
Title
Manager
Phone
(480) 559-8688

Specialties & licenses 1

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

Addresses

Primary practice location

333 S Dobson Rd Ste 100
Mesa, AZ 85202-1073

Mailing address

333 S Dobson Rd Ste 100
Mesa, AZ 85202-1073

National Provider Directory

National Provider Directory

Locations

333 S Dobson Rd
Ste 100
Mesa, AZ 85202
Phone (480) 559-8688

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1669120382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DOBSON RD STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S DOBSON RD STE 100",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852021073",
            "telephone_number": "480-559-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEKONG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-559-8688",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.