Organization Active NPI

Tao Dan Pharmacy, Inc.

Doing business as Tao Dan Pharmacy

  • Pharmacy
  • Irvine, CA
National Provider Identifier
1952398117
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY47231 Issued in CA
Legal business name
TAO DAN PHARMACY, INC.
Doing business as
Tao Dan Pharmacy
Practice address
15342 Montpellier Ave
Irvine, CA 92604-3130
Phone
(714) 323-3864
NPI assigned
Oct 4, 2005
Last updated
Dec 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Mrs. Dung Thu Nguyen, PHARM.DNPI 1104948652
Title
President/ Pharmacist in Charge
Phone
(714) 323-3864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY47231 CA Primary

Addresses

Primary practice location

15342 Montpellier Ave
Irvine, CA 92604-3130

Mailing address

15342 Montpellier Ave
Irvine, CA 92604-3130
Phone (714) 323-3864

Other identifiers 1

IdentifierTypeStateIssuer
PHA472310MedicaidCA

Other names 1

  • Tao Dan Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1952398117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15342 MONTPELLIER AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043130",
            "telephone_number": "714-323-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15342 MONTPELLIER AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926043130",
            "telephone_number": "714-323-3864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAO DAN PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-323-3864",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA472310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tao Dan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.