Provider Demographics
NPI:1700270477
Name:APPLE RX PHARMACY. INC
Entity Type:Organization
Organization Name:APPLE RX PHARMACY. INC
Other - Org Name:APPLE RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:THINH
Authorized Official - Middle Name:DINH
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:562-220-2586
Mailing Address - Street 1:3625 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:STE # 1
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-6409
Mailing Address - Country:US
Mailing Address - Phone:424-406-2066
Mailing Address - Fax:424-406-2067
Practice Address - Street 1:3625 MARTIN LUTHER KING JR BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-3509
Practice Address - Country:US
Practice Address - Phone:562-220-2856
Practice Address - Fax:562-220-2735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY54570OtherCALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA5555042Medicaid
CA56-54656OtherNCPDP NUMBER