Organization Active NPI

Family Pharmacy

  • Pharmacist
  • Garden Grove, CA
National Provider Identifier
1730163403
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY36119 Issued in CA
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

Updated by the provider on Aug 6, 2008

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PHA361190MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.