Harbor Healthy Living Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY 50369 Issued in CA

Legal business name

HARBOR HEALTHY LIVING PHARMACY INC

Practice address

646 S Harbor Blvd
Santa Ana, CA 92704-1384

Phone

(714) 531-8080

Fax

(714) 531-9090

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Thinh Hung Tran, PHARM DNPI 1861080863

Title

President/ Pic

Phone

(714) 531-8080

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HARBOR HEALTHY LIVING PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• GG Pharmcare Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
  • NPI 1467816322

  7517120272

  Same PAC ID
• Harbor Healthy Living Pharmacy Inc

  • Community/Retail Pharmacy
  • Fountain Valley, CA
  • NPI 1760757439

  7517120272

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Harbor Healthy Living Phar3 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.

• GG Pharmcare Inc

  • Community/Retail Pharmacy
  • Garden Grove, CA
  • NPI 1467816322
  NPD tax ID
• Harbor Healthy Living Pharmacy Inc

  • Community/Retail Pharmacy
  • Fountain Valley, CA
  • NPI 1760757439
  NPD tax ID

Locations

Practitioners 3

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

• Thinh Hung Tran, PHARM D

  • Pharmacist
  • Fountain Valley, CA
  • NPI 1861080863
  NPD (past) Authorized official
• Cindy Nguyen, PHARMD

  • Pharmacist
  • Garden Grove, CA
  • NPI 1447913546
  NPD (past)
• Stacey P Nguyen, PHARM D

  • Pharmacist
  • Santa Ana, CA
  • NPI 1194009712
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1982919478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041384",
            "telephone_number": "714-531-8080",
            "fax_number": "714-531-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041384",
            "telephone_number": "714-531-8080",
            "fax_number": "714-531-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HEALTHY LIVING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THINH",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "PRESIDENT/ PIC",
        "authorized_official_telephone_number": "714-531-8080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50369",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "56-38688",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETAIL PHARMACY PERMIT",
            "identifier": "PHY 50369",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBOR HEALTHY LIVING PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mari Hanson, M.A.
• Rachel J. Hanson
• Hansra Optometric Corporation
• Irmina Sultana Haq, M.D.
• Harbor Healthy Living Pharmacy Inc
• Harbor Pain Relief Center, Inc.
• Heidi Harder, LMFT
• Kaitlyn Leigh Harding
• Scott Hardy, M.D., M.P.H.
• Aidan Hare

• Community/Retail Pharmacy in Santa Ana, CA
• Providers in Santa Ana, 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 Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.