Organization Active NPI

Tin Enterprise LLC

Doing business as T-Care Pharmacy

  • Community/Retail Pharmacy
  • Stockton, CA
National Provider Identifier
1700409992
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
TIN ENTERPRISE LLC
Doing business as
T-Care Pharmacy
Practice address
678 N Wilson Way Ste 14
Stockton, CA 95205-4200
Phone
(209) 475-8846
Fax
(209) 475-8976
NPI assigned
May 21, 2020
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Tin Thi Ngoc NguyenNPI 1952872442
Title
Owner
Phone
(209) 981-7078

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 NU Primary

Addresses

Primary practice location

678 N Wilson Way Ste 14
Stockton, CA 95205-4200

Mailing address

678 N Wilson Way Ste 14
Stockton, CA 95205-4200
Phone (209) 981-7078

Other names 1

  • T-CARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

678 N Wilson Way
Ste 14
Stockton, CA 95205
Phone (209) 475-8846

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1700409992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "678 N WILSON WAY STE 14",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054200",
            "telephone_number": "209-981-7078",
            "fax_number": "209-475-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 N WILSON WAY STE 14",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054200",
            "telephone_number": "209-475-8846",
            "fax_number": "209-475-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIN ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TIN",
        "authorized_official_middle_name": "THI NGOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-981-7078"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T-CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "T-CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.