Organization Active NPI

Dang Pharmacy Group Inc

  • Compounding Pharmacy
  • West Covina, CA
National Provider Identifier
1821349341
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PHY51197 Issued in CA
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

Updated by the provider on Mar 30, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2145475OtherPK

Other names 1

  • San Gabriel Medical Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dang Pharmacy Group Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.