Organization Active NPI

Ultum Care Pharmacy, LLC.

  • Community/Retail Pharmacy
  • Garden Grove, CA
National Provider Identifier
1801674155
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
ULTUM CARE PHARMACY, LLC.
Practice address
9701 Garden Grove Blvd
Garden Grove, CA 92844-1614
Phone
(714) 981-7467
NPI assigned
Sep 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Quang Vu, PHARMACIST
Title
Pharmacist/Owner
Phone
(714) 467-7687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

9701 Garden Grove Blvd
Garden Grove, CA 92844-1614

Mailing address

9701 Garden Grove Blvd
Garden Grove, CA 92844-1614
Phone (657) 212-9898

Other names 1

  • Ultum Care Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9701 Garden Grove Blvd
Garden Grove, CA 92844
Phone (714) 981-7467

NPI Registry JSON

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1801674155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441614",
            "telephone_number": "657-212-9898",
            "fax_number": "657-202-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441614",
            "telephone_number": "714-981-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTUM CARE PHARMACY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "QUANG",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "714-467-7687",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultum Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.