1205982543 NPI number — TED'S VILLAGE PHARMACY INC.

Table of content: (NPI 1205982543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205982543 NPI number — TED'S VILLAGE PHARMACY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TED'S VILLAGE PHARMACY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205982543
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
29 W 25TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN MATEO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94403-2236
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-349-1373
Provider Business Mailing Address Fax Number:
650-349-1745

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
29 W 25TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN MATEO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94403-2236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-349-1373
Provider Business Practice Location Address Fax Number:
650-349-1745
Provider Enumeration Date:
01/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PHAM
Authorized Official First Name:
NGUYEN
Authorized Official Middle Name:
TAM
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
650-349-1373

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  PHY46796 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PHA467960 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0546753 . This is a "NCPDP" identifier . This identifiers is of the category "OTHER".




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