Organization Active NPI

Xuan T Hoang

  • Community/Retail Pharmacy
  • Sacramento, CA
National Provider Identifier
1740291335
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44814 Issued in CA
Legal business name
XUAN T HOANG
Doing business as
BLUE STAR PHARMACY
Practice address
3811 Florin Rd Ste 28
Sacramento, CA 95823-1803
Phone
(916) 422-9861
Fax
(916) 391-1720
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Xuan Hoang
Title
Owner
Phone
(916) 422-9861

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY44814 CA Primary

Addresses

Primary practice location

3811 Florin Rd Ste 28
Sacramento, CA 95823-1803

Mailing address

3811 Florin Rd Ste 28
Sacramento, CA 95823-1803
Phone (916) 422-9861

Other identifiers 2

IdentifierTypeStateIssuer
1995569OtherPK
PHA448140MedicaidCA

Other names 1

  • BLUE STAR PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3811 Florin Rd
Ste 28
Sacramento, CA 95823
Phone (916) 422-9861

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1740291335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 FLORIN RD STE 28",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231803",
            "telephone_number": "916-422-9861",
            "fax_number": "916-391-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 FLORIN RD STE 28",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231803",
            "telephone_number": "916-422-9861",
            "fax_number": "916-391-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XUAN T HOANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "XUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-422-9861"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY44814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1995569",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA448140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE STAR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.