Hoang Bien
Individual provider Active NPI Pharmacist · Ceres, CA
NPI 1104301019 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1104301019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 79007 (CA)
- Practice address
- 1830 Mitchell Rd
Ceres, CA 95307-2163 - Phone
- (209) 538-4927
- NPI assigned
- Sep 26, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79007 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79007 | CA | Yes |
Addresses
Primary practice location
1830 Mitchell Rd
Ceres, CA 95307-2163
Mailing address
1956 Chardonnay Way
Manteca, CA 95336-8545
Phone (209) 470-1187
Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. 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.