Active NPI
Telnet-RX Specialties Inc.
- Community/Retail Pharmacy
- La Verne, CA
National Provider Identifier
1780372011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- TELNET-RX SPECIALTIES INC.
- Practice address
- 2353 Foothill Blvd
La Verne, CA 91750-3027 - Phone
- (800) 920-8879
- Fax
- (909) 599-7944
- NPI assigned
- Apr 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tung K Nguyen
- Title
- Cfo
- Phone
- (714) 746-6863
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2353 Foothill Blvd
La Verne, CA 91750-3027
Mailing address
2353 Foothill Blvd
La Verne, CA 91750-3027
Phone (800) 920-8879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100380782 | Medicaid | CA |
Other names 1
- TelNet-Rx Pharmacy La Verne
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231110000928 | CA | DME Supplier - Pharmacy | 4385091453 | Practice locations: La Verne, CA |
National Provider Directory
National Provider DirectoryLocations
2353 Foothill Blvd
La Verne, CA 91750
Phone (800) 920-8879
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- La Verne, CA
- NPI 1598545394
-
- Pharmacist
- Loma Linda, CA
- NPI 1114003423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704931200000",
"number": "1780372011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503027",
"telephone_number": "800-920-8879",
"fax_number": "909-599-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2353 FOOTHILL BLVD",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917503027",
"telephone_number": "800-920-8879",
"fax_number": "909-599-7944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELNET-RX SPECIALTIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-25",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "TUNG",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "714-746-6863"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100380782",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TelNet-Rx Pharmacy La Verne",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TelNet-Rx Pharmacy La Verne",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.