Thanh Cao, PHARM.D
Individual provider Active NPI Pharmacist · Fallbrook, CA
NPI 1043757974 · NPPES record last updated Jan 30, 2017
Key facts
- NPI
- 1043757974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 75709 (CA)
- Practice address
- 1133 S Mission Rd
Fallbrook, CA 92028-3222 - Phone
- (760) 723-8178
- NPI assigned
- Jan 30, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75709 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 75709 | CA | Yes |
Addresses
Primary practice location
1133 S Mission Rd
Fallbrook, CA 92028-3222
Mailing address
1133 S Mission Rd
Fallbrook, CA 92028-3222
Phone (760) 723-8178
Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.