Individual provider Active NPI

Ethan Thong Huynh, PHARM.D.

  • Geriatric Pharmacist
  • Alhambra, CA
National Provider Identifier
1750672192
Registry record updated Oct 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
58232 Issued in CA
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

Updated by the provider on Oct 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.