Organization
GISELE NGUYEN INC
Active
Other names
POMONA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GISELE NGUYEN PHARM D (OWNER)
(904) 620-6580
Entity
Organization
Contact information
Practice address
1182 E HOLT AVE, STE A, POMONA, CA 91767-5833
(909) 620-6580
(909) 620-6651
Mailing address
1182 E HOLT AVE, STE A, POMONA, CA 91767-5833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48761
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0595477
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA397660
—
CA
Enumeration date
11/06/2005
Last updated
10/15/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up