MANNA PHARMACY – NPI #1467434845
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.

MANNA PHARMACY is a pharmacy located in GARDEN GROVE, CA. NPPES has assigned the NPI number 1467434845 to MANNA PHARMACY on November 18, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MANNA PHARMACY” is a dba name, the actual legal business name for this organization is LIEN THI KHONG. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 9 years ago on Dec 18, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MANNA PHARMACY below.

NPI Profile for
LIEN THI KHONG

NPI Number
1467434845
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIEN THI KHONG
Doing Business As (dba): MANNA PHARMACY
Primary location
10402 WESTMINSTER AVE
STE C
GARDEN GROVE, CA 92843-4861
Phone: (714) 534-4133 Fax: (714) 534-4052
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUSIE PHAN
PHARMACIST-IN-CHARGE
Phone: (949) 351-9776
Updated
Identifiers

Identifiers for MANNA PHARMACY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPK2122922
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)
CA PHY50050
333600000X
- Pharmacy

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.