Organization Active NPI

Laavi Pharmacy, a Professional Corporation

  • Mail Order Pharmacy
  • Newark, CA
National Provider Identifier
1063392066
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
Legal business name
LAAVI PHARMACY, A PROFESSIONAL CORPORATION
Practice address
5409 Central Ave Ste 19
Newark, CA 94560-4479
Phone
(650) 396-6830
NPI assigned
Sep 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Lien Truong
Title
Ceo
Phone
(650) 396-6830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Mail Order Pharmacy 3336M0002X Primary

Addresses

Primary practice location

5409 Central Ave Ste 19
Newark, CA 94560-4479

Mailing address

5409 Central Ave Ste 19
Newark, CA 94560-4479
Phone (650) 396-6830

National Provider Directory

National Provider Directory

Locations

5409 Central Ave
Ste 19
Newark, CA 94560
Phone (650) 396-6830

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1063392066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 CENTRAL AVE STE 19",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945604479",
            "telephone_number": "650-396-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 CENTRAL AVE STE 19",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945604479",
            "telephone_number": "650-396-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAAVI PHARMACY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "LIEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-396-6830"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.