Eastgate Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

55923 Issued in CA

Legal business name

EASTGATE PHARMACY INC

Practice address

11741 Valley View St Ste L
Cypress, CA 90630-5500

Phone

(714) 902-1480

Fax

(714) 902-1481

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Minh Chau NguyenNPI 1487921284

Title

Ceo

Phone

(714) 902-1480

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EastGate Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Minh Chau Vu Nguyen, PHARM.D.

  • Pharmacist
  • Cypress, CA
  • NPI 1487921284
  NPD Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1689176356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11741 VALLEY VIEW ST STE L",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305500",
            "telephone_number": "714-902-1480",
            "fax_number": "714-902-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11741 VALLEY VIEW ST STE L",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305500",
            "telephone_number": "714-902-1480",
            "fax_number": "714-902-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTGATE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2025-09-19",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH CHAU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-902-1480"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "55923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176364",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689176356",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EastGate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EastGate Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Cypress, CA
• Providers in Cypress, 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 Sep 19, 2025; 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.