Active NPI
Duc Mai, PHARM.D.
- Pharmacist
- Tustin, CA
National Provider Identifier
1073981619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73165
- Practice address
- 2655 El Camino Real
Tustin, CA 92782-8918 - Phone
- (714) 838-0677
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73165 | CA | Primary |
| Pharmacist | 183500000X | 19104 | NV |
Addresses
Primary practice location
2655 El Camino Real
Tustin, CA 92782-8918
Mailing address
2655 El Camino Real
Tustin, CA 92782-8918
Phone (714) 838-0677
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1073981619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 EL CAMINO REAL",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927828918",
"telephone_number": "714-838-0677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 EL CAMINO REAL",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927828918",
"telephone_number": "714-838-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "DUC",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-14",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73165",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "19104",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.