Active NPI
Shelby Wai Ling Lau
- Pharmacist
- Chula Vista, CA
National Provider Identifier
1023706876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87861
- Practice address
- 1430 Eastlake Pkwy
Chula Vista, CA 91915-1926 - Phone
- (619) 591-7042
- NPI assigned
- Apr 28, 2023
- Last updated
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 87861 | CA | Primary |
Addresses
Primary practice location
1430 Eastlake Pkwy
Chula Vista, CA 91915-1926
Mailing address
11526 Windcrest LN Apt 366
San Diego, CA 92128-4268
Phone (415) 269-9289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87861 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1023706876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11526 WINDCREST LN APT 366",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284268",
"telephone_number": "415-269-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 EASTLAKE PKWY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151926",
"telephone_number": "619-591-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "SHELBY",
"middle_name": "WAI LING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.