MAILAN HERITAGE PHARMACY (NPI# 1407163967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407163967 |
| Entity Type | Organization |
| Organization Name | MAILAN HERITAGE PHARMACY |
| Other Organization Name | MAILAN HERITAGE PHARMACY |
| Practice Address |
14441 Beach Blvd Ste 108 Westminster CA 92683 |
| Practice Telephone | 7148994960 |
| Practice Fax Number | 7148766011 |
| Mailing Telephone | 7148994960 |
| Mailing Fax Number | 7148766011 |
| Enumeration Date | 2010-09-05 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | PHUONG THI NGOC PHAM (PIC/CEO) |
| Authorized Official Telephone | 7148994960 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY50316 | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| Mailan Heritage Pharmacy | Doing Business As Name - Organization |
| Street Address |
14441 BEACH BLVD STE 108 |
| City | WESTMINSTER |
| State | CA |
| Zip Code | 92683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548554637 | Hoa D Nguyen | Pharmacist | 14441 Beach Blvd, #108, Westminster, CA 92683-5342 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578050050 | Luna Dawn Garcia | Behavior Technician | 3950 Milton Ave Suite 200b, Westminster, CA 92683 | 2018-04-19 |
| 1912494899 | Sarah Martin | Behavior Technician | 13950 Milton Ave 220b, Westminster, CA 92683 | 2018-04-17 |
| 1952817314 | Emad Moawad Dental Corporation | Clinic/Center | 7631 Westminster Blvd. #a, Westminster, CA 92683 | 2017-12-21 |
| 1992216717 | Cornerstone Dentistry | Clinic/Center | 14120 Beach Blvd. #212, Westminster, CA 92683 | 2017-10-19 |
| 1306369566 | Nova Surgery Center, LLC | Surgery | 8331 Westminster Blvd Ste B, Westminster, CA 92683 | 2017-07-19 |
| 1619429693 | All Smiles Dental | Dentist | 9361 Bolsa Avenue, Suite #102, Westminster, CA 92683 | 2016-10-26 |
| 1265882856 | Anh Phuong Nguyen | Occupational Therapist | 15606 A Brookhurst St., Westminster, CA 92683 | 2016-06-15 |
| 1194192831 | Tuong Vi Thi Nguyen | Dentist | 16517 Magnolia Street, Westminster, CA 92683 | 2015-08-28 |
| 1366818767 | Hoai Albert Bui Jr. | Acupuncturist | 9561 Bolsa Ave, Westminster, CA 92683 | 2015-08-19 |
| 1245606698 | Vision Institute of Southern California A Professional Medical Corpora | Ophthalmology | 8341 Westminster Blvd., Ste. 202, Westminster, CA 92683 | 2015-08-19 |
| Find all providers in zip 92683 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217861 | 888 Pharmacy Inc | Pharmacy | 5092 W 92nd Ave Ste D-8, Westminster, CO 80031-6302 | 2019-10-21 |
| 1013301308 | Dragon Pharmacy Corp | Pharmacy | 5839 Westminster Blvd, #a, Westminster, CA 92683-9107 | 2015-03-24 |
| 1457782526 | Audrey Pharmacy Inc. | Pharmacy | 9822 Bolsa Ave, Suite # G, Westminster, CA 92683-6698 | 2013-11-27 |
| 1669724811 | Lcm Pharmaceuticals Inc | Pharmacy | 15440 Beach Blvd, #120, Westminster, CA 92683-6240 | 2012-10-12 |
| 1700014230 | Walgreen Co. | Pharmacy | 7001 Westminster Blvd., Westminster, CA 92683-4232 | 2009-06-23 |
| 1295918340 | Manchester Drugs, Inc | Pharmacy | 15 S Cranberry Rd, Unit C, Westminster, MD 21157-5101 | 2007-12-12 |
| 1710034848 | Tue Ngoc Hoang | Pharmacy | 9972 Bolsa Ave Ste 103, Westminster, CA 92683-6069 | 2007-01-04 |
| 1013088244 | Theresa Pharmacy Inc | Pharmacy | 7785 Westminster Blvd, Westminster, CA 92683-4025 | 2006-11-10 |
| 1396836011 | Golden Pharmacy Corporation | Pharmacy | 10301 Bolsa Ave Ste 105, Westminster, CA 92683-6784 | 2006-09-27 |
| 1619077146 | Newland Pharmacy | Pharmacy | 8401 Westminster Blvd, Westminster, CA 92683-3308 | 2006-09-24 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 92683 |
Please comment or provide details below to improve the information on MAILAN HERITAGE PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.