ACTIVE CARE PHARMACY INC
NPI 1477061745
Pharmacy - Long Term Care Pharmacy in Fountain Valley, CA

Q: What is Active Care Pharmacy Inc's NPI number?

The NPI number for Active Care Pharmacy Inc is 1477061745. It was assigned to this organization in the NPPES registry on January 19, 2018. The provider is doing business as Active Care Pharmacy.

Q: What is Active Care Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Active since January 19, 2018

11770 WARNER AVE STE 101, FOUNTAIN VALLEY, CA 92708(714) 733-7930(714) 951-9333 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2025, Apr 21, 2020, Jul 18, 2018 and 2 more (5 updates tracked since 2018).

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About Active Care Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE CARE PHARMACY INC (NPI 1477061745), doing business as Active Care Pharmacy, is a healthcare organization registered as a long term care pharmacy in Fountain Valley, California and active in the NPI registry since January 2018. The organization lists Tyrone Nguyen, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1477061745

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameACTIVE CARE PHARMACY INC

Location Address11770 WARNER AVE STE 101Fountain Valley, CA 92708-2659

Mailing Address11770 Warner Ave Ste 101Fountain Valley, CA 92708-2659 · (714) 733-7930 · Fax (714) 951-9333

Phone(714) 733-7930

Fax(714) 951-9333

Organization SubpartNo

Authorized OfficialTyrone NguyenCeo/owner · (714) 733-7930

Enumeration DateJanuary 19, 2018

Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1477061745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

License✔ Licensed in CA · 55862

Definition

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

11770 WARNER AVE STE 101, Fountain Valley, CA 92708

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Other Names 1

Doing Business AsActive Care Pharmacy

Other Identifiers 1

Other57681CA · Pharmacy Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2188209

Active Care Pharmacy Inc Dba Active Care Pharmacy · Fountain Valley, CA

Expired · Jul 13, 2026

CLIA Number05D2188209

Laboratory TypePharmacy

Certificate Effective DateJuly 14, 2024

Certificate Expiration DateJuly 13, 2026

Laboratory DirectorTyrone Nguyen

Laboratory Phone(714) 733-7930

Laboratory LocationActive Care Pharmacy Inc Dba Active Care Pharmacy17050 Bushard Street Ste 300, Fountain Valley, CA 92708

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

14 services14 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Active Care Pharmacy carries, from the Medicare DMEPOS supplier directory.

Active Care Pharmacy

DMEPOS supplier · Fountain Valley, CAOperated by Active Care Pharmacy Inc

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Does not accept Medicare assignment

Active Care Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20455535

Medicare Participant SinceApril 20, 2018

Supplier Location17050 Bushard St Ste 300Fountain Valley, CA 92708

Phone(714) 733-7930

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARRON HOWARD PT, DPT

Physical Therapist

11770 WARNER AVE STE 101
FOUNTAIN VALLEY, CA 92708

Orange County (818) 241-2200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Care Pharmacy Inc's NPI number?

The NPI number for Active Care Pharmacy Inc is 1477061745. It was assigned to this organization in the NPPES registry on January 19, 2018. The provider is doing business as Active Care Pharmacy.

Where is Active Care Pharmacy Inc located?

Active Care Pharmacy Inc is located at 11770 Warner Ave Ste 101, Fountain Valley, CA 92708. The listed phone number is (714) 733-7930.

What is Active Care Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Active Care Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Active Care Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Active Care Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Active Care Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Active Care Pharmacy Inc was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.