MEDICARE: NH PHARMCARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	59432	OTHER	CA	STATE BOARD OF PHARMACY

General Provider Information

NPI Number	:	1245671684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NH PHARMCARE INC

Provider Business Mailing Address
First Line	:	2476 HUNTINGTON DR
Second Line	:
City	:	SAN MARINO
State	:	CA
Zip	:	91108-2643
Country	:	US
Telephone Number	:	888-986-7666
Fax Number	:	626-399-0421

Provider Business Practice Location Address
First Line	:	11026 VICTORY BLVD
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3770
Country	:	US
Telephone Number	:	818-308-6150
Fax Number	:	818-308-6710

Authorized Official
Title or Position	:	CEO
Name	:	KHANH-LONG THAI
Credential	:	PHARM.D.
Telephone Number	:	818-308-6150

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	02/03/2026

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