Active NPI
Ethan Thong Huynh, PHARM.D.
- Geriatric Pharmacist
- Alhambra, CA
National Provider Identifier
1750672192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 58232
- Practice address
- 407 W Valley Blvd Unit 7
Alhambra, CA 91803-3359 - Phone
- (626) 386-3446
- Fax
- (888) 251-2347
- NPI assigned
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 58232 | CA | Primary |
Addresses
Primary practice location
407 W Valley Blvd Unit 7
Alhambra, CA 91803-3359
Mailing address
407 W Valley Blvd Unit 7
Alhambra, CA 91803-3359
Phone (626) 386-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCT Health Inc | Current | Accepting new patients | |
| Apni Health Inc | Current | Accepting new patients | |
| Alpha Medical Health Inc | Current | Accepting new patients |
Locations
407 W Valley Blvd
Unit 7
Alhambra, CA 91803
Phone (626) 310-0504
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Monterey Park, CA
- NPI 1689096133
-
- Managed Care Organization Pharmacy
- Alhambra, CA
- NPI 1356935613
-
- Community/Retail Pharmacy
- El Monte, CA
- NPI 1265026520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697846400000",
"number": "1750672192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W VALLEY BLVD UNIT 7",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033359",
"telephone_number": "626-386-3446",
"fax_number": "888-251-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W VALLEY BLVD UNIT 7",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "918033359",
"telephone_number": "626-386-3446",
"fax_number": "888-251-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "ETHAN",
"middle_name": "THONG",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2023-10-21",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "58232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alhambra, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.