Ted'S Village Pharmacy Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

TED'S VILLAGE PHARMACY INC.

Practice address

29 W 25TH Ave
San Mateo, CA 94403-2236

Phone

(650) 349-1373

Fax

(650) 349-1745

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Nguyen PhamNPI 1740015072

Title

Pharmacist

Phone

(650) 349-1373

Specialties & licenses 1

Addresses

Tax ID family

Ted'S Village Pharmacy Inc2 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.

• Ted'S Village Pharmacy Inc.

  • Community/Retail Pharmacy
  • San Mateo, CA
  • NPI 1205982543
  NPD tax ID

Locations

Practitioners 2

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

• Nguyen Pham

  • Pharmacist
  • San Mateo, CA
  • NPI 1740015072
  NPD Authorized official
• Phillip Pham, PHARMD.

  • Pharmacist
  • San Mateo, CA
  • NPI 1457048126
  NPD

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1922833730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 W 25TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032236",
            "telephone_number": "650-349-1373",
            "fax_number": "650-349-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 W 25TH AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944032236",
            "telephone_number": "650-349-1373",
            "fax_number": "650-349-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED'S VILLAGE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "650-349-1373"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Taylor
• Shardae Taylor
• Justin Phillip Tays
• Gursteen Teaupa
• Ted'S Village Pharmacy Inc.
• Michael Teixeira-Toland
• Alejandra Guzman Tejano
• Jocelyn Tejeda
• Telecare Corporation
• Telecare Corporation

• Long Term Care Pharmacy in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.