Active NPI
Family Pharmacy
- Pharmacist
- Garden Grove, CA
National Provider Identifier
1730163403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY36119
- Legal business name
- FAMILY PHARMACY
- Practice address
- 10240 Westminster Ave
Suite #104
Garden Grove, CA 92843-4855 - Phone
- (714) 534-7656
- Fax
- (714) 534-4424
- NPI assigned
- Dec 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimhue Thi Du, RPH
- Title
- Pharmacist in Charge / Owner
- Phone
- (714) 534-7656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY36119 | CA | Primary |
Addresses
Primary practice location
10240 Westminster Ave
Suite #104
Garden Grove, CA 92843-4855
Mailing address
10240 Westminster Ave
Suite #104
Garden Grove, CA 92843-4855
Phone (714) 534-7656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA361190 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
10240 Westminster Ave
Ste 104
Garden Grove, CA 92843
Phone (714) 534-7656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1730163403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10240 WESTMINSTER AVE",
"address_2": "SUITE #104",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434855",
"telephone_number": "714-534-7656",
"fax_number": "714-534-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10240 WESTMINSTER AVE",
"address_2": "SUITE #104",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928434855",
"telephone_number": "714-534-7656",
"fax_number": "714-534-4424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-06",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "DU",
"authorized_official_first_name": "KIMHUE",
"authorized_official_middle_name": "THI",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE / OWNER",
"authorized_official_telephone_number": "714-534-7656",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY36119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA361190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.