DT Pharmacy Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

53778 Issued in CA

Legal business name

DT PHARMACY CORPORATION

Doing business as

Phillip Pharmacy

Practice address

5507 El Cajon Blvd # E
San Diego, CA 92115-3624

Phone

(619) 458-9660

Fax

(619) 326-8829

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Phuongdung Nguyen, RPH

Title

Pres, Pic, Ao

Phone

(619) 458-9660

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PHILLIP PHARMACY Doing business as

Tax ID family

DT Pharmacy Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• DT Pharmacy Corporation

  dba Viet Pharmacy and Medical Supplies

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1790783025
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phuongddung Nguyen

  • Pharmacist
  • San Diego, CA
  • NPI 1114248689
  NPD

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1912362377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5507 EL CAJON BLVD # E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153624",
            "telephone_number": "619-458-9660",
            "fax_number": "619-326-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 EL CAJON BLVD # E",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921153624",
            "telephone_number": "619-458-9660",
            "fax_number": "619-326-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DT PHARMACY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONGDUNG",
        "authorized_official_title_or_position": "PRES, PIC, AO",
        "authorized_official_telephone_number": "619-458-9660",
        "authorized_official_credential": "RPH"
    },
    "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": "53778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHILLIP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Drutman, DO
• Julia Claire Dryden
• Kaitlyn E Dryzmala, M.S., CCC-SLP
• Monika Drzymalski, DO
• DT Pharmacy Corporation (Viet Pharmacy and Medical Supplies)
• Kayla Rene Du Bois, PA-C
• Mary Walch Du Quette, M.D.
• Genuvere Guenette Du Ville, MFT
• Clarisa Pelayo Du, NP
• Kelvin Heng Du, MD

• Community/Retail Pharmacy in San Diego, CA
• Providers in San Diego, 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 Jan 20, 2016; 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.