Full Green Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY48630 Issued in CA

Legal business name

FULL GREEN PHARMACY INC.

Doing business as

T & C Pharmacy

Practice address

2340 E Pacific Coast Hwy
Ste G
Long Beach, CA 90804-1500

Phone

(562) 494-1487

Fax

(562) 986-4418

NPI assigned

Nov 23, 2005

Last updated

Sep 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jensen Yang

Title

President

Phone

(562) 494-1487

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• T & C PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1740263623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E PACIFIC COAST HWY",
            "address_2": "STE G",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908041500",
            "telephone_number": "562-494-1487",
            "fax_number": "562-986-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E PACIFIC COAST HWY",
            "address_2": "STE G",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908041500",
            "telephone_number": "562-494-1487",
            "fax_number": "562-986-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL GREEN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JENSEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-494-1487",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BIN #",
            "identifier": "9475033",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA486300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T & C PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda E Fujino, AMFT
• Mika Fujiwara, M.D.
• Angela Fukuda Plesa
• Glen Tomio Fukumura, M.D.
• Monique Eva Fulcher
• Brittany N Fuller
• Jaelyn Fuller
• Jennifer Ann Fuller
• Josette Fuller
• Kim E Fuller

• Community/Retail Pharmacy in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.