Organization Active NPI

Tue Ngoc Hoang

  • Community/Retail Pharmacy
  • Westminster, CA
National Provider Identifier
1710034848
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY35565 Issued in CA
Legal business name
TUE NGOC HOANG
Practice address
9972 Bolsa Ave Ste 103
Westminster, CA 92683-6069
Phone
(714) 775-6301
Fax
(714) 775-0891
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mr. P Hoang
Title
General MGR
Phone
(714) 775-6301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY35565 CA Primary

Addresses

Primary practice location

9972 Bolsa Ave Ste 103
Westminster, CA 92683-6069

Mailing address

9972 Bolsa Ave Ste 103
Westminster, CA 92683-6069
Phone (714) 775-6301

Other identifiers 1

IdentifierTypeStateIssuer
PHA355650MedicaidCA

Other names 1

  • ORANGE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

9972 Bolsa Ave
Ste 103
Westminster, CA 92683
Phone (714) 775-6301

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1710034848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9972 BOLSA AVE STE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836069",
            "telephone_number": "714-775-6301",
            "fax_number": "714-775-0891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9972 BOLSA AVE STE 103",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836069",
            "telephone_number": "714-775-6301",
            "fax_number": "714-775-0891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUE NGOC HOANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "P",
        "authorized_official_title_or_position": "GENERAL MGR",
        "authorized_official_telephone_number": "714-775-6301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY35565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA355650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ORANGE 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 Jun 19, 2008; 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.