Polly Trieu

Primary specialty

PharmacistTaxonomy code 183500000X

License

03442370 Issued in OH

Practice address

135 Courtland Blvd
Eastlake, OH 44095-1033

Phone

(626) 203-5293

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1013653492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COURTLAND BLVD",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951033",
            "telephone_number": "626-203-5293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COURTLAND BLVD",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440951033",
            "telephone_number": "626-203-5293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21016 109th Pl SE Apt 905",
            "address_purpose": "LOCATION",
            "city": "Kent",
            "state": "WA",
            "postal_code": "980312121",
            "country_code": "US",
            "telephone_number": "626-203-5293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "POLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03442370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Marie Taurasi, M.A., CCC-SLP
• Brandon Teske
• Donald Charles Thaler
• Donald J. Tobul
• Jackie Lynn Toth, LPN
• Jamie Vandergriff, RN
• Melissa Marie Weber
• Victoria A Wenzel
• Ashely Willis, LPN
• Shirley L Wimer

• Pharmacist in Eastlake, OH
• Providers in Eastlake, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.