Active NPI
Caryn Thai Ton, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Modesto, CA
National Provider Identifier
1083129316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH78577
- Practice address
- 1524 McHenry Ave Ste 445
Modesto, CA 95350 - Phone
- (209) 571-1693
- NPI assigned
- Dec 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH6077291 | WA | |
| Pharmacist | 183500000X | RPH-0016272 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH78577 | CA | Primary |
Addresses
Primary practice location
1524 McHenry Ave Ste 445
Modesto, CA 95350
Mailing address
1835 Morrill Ave
San Jose, CA 95132-1636
Phone (408) 677-0051
Other practice location 1
4346 NE Cully Blvd
Portland, OR 97218-2206
Phone (503) 288-0836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922198779 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0016272 | OR | MD | Pharmacist |
| PH6077291 | WA | MD | Pharmacist |
| RPH78577 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | 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.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
dba Rite Aid Pharmacy 05350
- Community/Retail Pharmacy
- Portland, OR
- NPI 1366551657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1083129316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 MORRILL AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951321636",
"telephone_number": "408-677-0051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 445",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "209-571-1693"
}
],
"practiceLocations": [
{
"address_1": "4346 NE Cully Blvd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972182206",
"country_code": "US",
"telephone_number": "503-288-0836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TON",
"first_name": "CARYN",
"middle_name": "THAI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-08",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH6077291",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0016272",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "RPH78577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922198779",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.