Phnom Pich Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY37082 Issued in CA

Legal business name

PHNOM PICH PHARMACY INC

Practice address

2338 E Anaheim St Ste 100
Long Beach, CA 90804-5735

Phone

(562) 438-3324

Fax

(562) 987-1801

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Eam Heng Hong

Title

President

Phone

(562) 438-3324

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1700998796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 E ANAHEIM ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 E ANAHEIM ST STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908045735",
            "telephone_number": "562-438-3324",
            "fax_number": "562-987-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHNOM PICH PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "HENG HONG",
        "authorized_official_first_name": "EAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-438-3324"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY37082",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0507953",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA370820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Melanie Phillips, LCSW
• Phil G Phillips
• Travis Shawn Phillips
• Philomena Physician Assistant Services Inc
• Phnom Pich Pharmacy Inc
• Nancy Phon
• Danny Phu, M.D.
• Elaine Phu, RD
• Sean Phu
• Christine Phuma, NP

• Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.