Raymond Liu

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH76536 Issued in CA

Practice address

18102 Irvine Blvd Ste 102
Tustin, CA 92780-3423

Phone

(949) 340-1700

NPI assigned

Oct 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Innovation Pharmacy Inc.

  • Long Term Care Pharmacy
  • Tustin, CA
  • NPI 1194598060
  NPD Authorized official
• Innovation Pharmacy Inc.

  • Community/Retail Pharmacy
  • Tustin, CA
  • NPI 1710679766
  NPD Authorized official

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

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1124848486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD STE 102",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803423",
            "telephone_number": "949-340-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH76536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Linares
• Linda Phi, DDS, Inc.
• Jacob Liscano
• Haley Litt, ASW
• Hanah Liu, LAC
• Wen Lin Liu, DDS
• Marissa Liuzzi
• Sylvia Fay Livingston, MFT
• Bradford Jay Lockhart, DDS
• James K. Lockwood, D.D.S.

• Pharmacist in Tustin, CA
• Providers in Tustin, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.