Individual provider Active NPI

Thao Phuong Nguyen Mai, PHARM.D.

  • Pharmacist
  • Irvine, CA
National Provider Identifier
1053937458
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50305 Issued in CA
Practice address
16300 Sand Canyon Ave Ste 101
Irvine, CA 92618-3704
Phone
(949) 453-9789
Fax
(949) 453-9235
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50305 CA Primary

Addresses

Primary practice location

16300 Sand Canyon Ave Ste 101
Irvine, CA 92618-3704

Mailing address

18302 Rain Cir
Huntington Beach, CA 92648-1076
Phone (714) 717-1894

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
50305CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Plus Inc. Current Accepting new patients
SMS and Drug Inc PastSince Jun 28, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1053937458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18302 RAIN CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481076",
            "telephone_number": "714-717-1894",
            "fax_number": "949-453-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE STE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183704",
            "telephone_number": "949-453-9789",
            "fax_number": "949-453-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAI",
        "first_name": "THAO",
        "middle_name": "PHUONG NGUYEN",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "50305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.