Organization Active NPI

Tin Phat Pharmacy Inc

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1699767061
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TIN PHAT PHARMACY INC
Practice address
9081 Bolsa Ave
# 108
Westminster, CA 92683-5509
Phone
(714) 379-5072
Fax
(714) 379-5074
NPI assigned
Aug 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Mrs. Vivian To-Nga Nguyen, PHARM DNPI 1265012397
Title
President/ Pharmacist in Charge
Phone
(714) 379-5072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

9081 Bolsa Ave
# 108
Westminster, CA 92683-5509

Mailing address

9081 Bolsa Ave
# 108
Westminster, CA 92683-5509
Phone (714) 379-5072

Other identifiers 2

IdentifierTypeStateIssuer
PHA389350MedicaidCA
05-32300OtherCANCPDP PROVIDER

Other names 1

  • DONGNAI PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160715001956 CA DME Supplier - Pharmacy 5890087530 Practice locations: Westminster, CA
O20211111002372 CA Part B Supplier - Pharmacy 5890087530 Practice locations: Westminster, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Dongnai Pharmacy9081 Bolsa Ave, Westminster, CA 92683-5590(714) 379-5072 Commodes, Urinals, Bedpans|Contracture Treatment Devices: Dynamic Splint|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Supplies|External Infu… Accepts assignmentParticipating since Nov 11, 2021

National Provider Directory

National Provider Directory

Locations

9081 Bolsa Ave
Ste 108
Westminster, CA 92683
Phone (714) 379-5072

Practitioners & affiliated clinicians

Practitioners 3

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": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1699767061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9081 BOLSA AVE",
            "address_2": "# 108",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835509",
            "telephone_number": "714-379-5072",
            "fax_number": "714-379-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9081 BOLSA AVE",
            "address_2": "# 108",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835509",
            "telephone_number": "714-379-5072",
            "fax_number": "714-379-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIN PHAT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "TO-NGA",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-379-5072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA389350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER",
            "identifier": "05-32300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DONGNAI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.