Twelve Bridges Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY48802 Issued in CA

Legal business name

TWELVE BRIDGES PHARMACY, INC.

Practice address

835 Twelve Bridges Drive
Suite 82
Lincoln, CA 95648-8817

Phone

(916) 409-9500

Fax

(916) 409-9400

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Huyquang CHI Le, PHARM.D

Title

President

Phone

(916) 415-0722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1033303177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 TWELVE BRIDGES DRIVE",
            "address_2": "SUITE 82",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488817",
            "telephone_number": "916-409-9500",
            "fax_number": "916-409-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 TWELVE BRIDGES DRIVE",
            "address_2": "SUITE 82",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956488817",
            "telephone_number": "916-409-9500",
            "fax_number": "916-409-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWELVE BRIDGES PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "HUYQUANG",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-415-0722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY48802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.