Thanh Tam Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY50504 Issued in CA

Legal business name

THANH TAM PHARMACY INC

Doing business as

Pacific Pharmacy

Practice address

9898 Bolsa Ave
Westminster, CA 92683-6677

Phone

(714) 839-1197

Fax

(714) 839-1196

NPI assigned

Sep 27, 2006

Last updated

Feb 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Xuan TrieuNPI 1457671992

Title

President

Phone

(714) 839-1197

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pacific Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xuan Trieu

  • Acupuncturist
  • Westminster, CA
  • NPI 1457671992
  NPD Authorized official
• Victoria Van Thuong Tonnu, PHARM. D

  • Pharmacist
  • Westminster, CA
  • NPI 1669639159
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1851482442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836677",
            "telephone_number": "714-839-1197",
            "fax_number": "714-839-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9898 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836677",
            "telephone_number": "714-839-1197",
            "fax_number": "714-839-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANH TAM PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "XUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-839-1197"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851482442",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hoang Trong Than, D.D.S
• Lina Ngoc Than, O.D.
• Thanh Long Thi Nguyen D.D.S Inc.
• Thanh N. Nguyen, Inc.
• Thanh Ngoc Nguyen, DMD, Inc
• THC - Orange County LLC (Kindred Hospital - Westminster)
• THC - Orange County, LLC
• The Bouldin Foundation LLC (The Bouldin Foundation)
• The Family Acupuncturist, Inc.
• The Nguyen Holding (Dba: Bear School)

• Community/Retail Pharmacy in Westminster, CA
• Providers in Westminster, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.