Active NPI
Dang Pharmacy Group Inc
- Compounding Pharmacy
- West Covina, CA
National Provider Identifier
1821349341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- License
- PHY51197
- Legal business name
- DANG PHARMACY GROUP INC
- Practice address
- 1250 S Sunset Ave # 207-B
West Covina, CA 91790-3961 - Phone
- (626) 593-2428
- Fax
- (626) 960-8749
- NPI assigned
- Sep 24, 2012
- 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
- Thi Dang
- Title
- Owner / Pic
- Phone
- (626) 593-2428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Compounding Pharmacy | 3336C0004X | PHY51197 | CA | Primary |
Addresses
Primary practice location
1250 S Sunset Ave # 207-B
West Covina, CA 91790-3961
Mailing address
1250 S Sunset Ave
#207-B
West Covina, CA 91790-3961
Phone (626) 593-2428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2145475 | Other | PK |
Other names 1
- San Gabriel Medical Compounding Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Dang Pharmacy Group Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- West Covina, CA
- NPI 1053596361
-
- Long Term Care Pharmacy
- West Covina, CA
- NPI 1679382824
Locations
1250 S Sunset Ave
#207B
West Covina, CA 91790
Phone (626) 593-2428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427673600000",
"number": "1821349341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S SUNSET AVE",
"address_2": "#207-B",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903961",
"telephone_number": "626-593-2428",
"fax_number": "626-960-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S SUNSET AVE # 207-B",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903961",
"telephone_number": "626-593-2428",
"fax_number": "626-960-8749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANG PHARMACY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-24",
"last_updated": "2015-03-30",
"status": "A",
"authorized_official_last_name": "DANG",
"authorized_official_first_name": "THI",
"authorized_official_title_or_position": "OWNER / PIC",
"authorized_official_telephone_number": "626-593-2428"
},
"taxonomies": [
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "CA",
"license": "PHY51197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2145475",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Gabriel Medical Compounding Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.