Active NPI
Ai-Huong DO, PHARM D
- Pharmacist
- Freedom, CA
National Provider Identifier
1144765371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64869
- Practice address
- 1702 Freedom Blvd
Freedom, CA 95019-3025 - Phone
- (831) 728-9324
- NPI assigned
- Dec 25, 2016
- Last updated
- Dec 25, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 64869 | CA | Primary |
Addresses
Primary practice location
1702 Freedom Blvd
Freedom, CA 95019-3025
Mailing address
1702 Freedom Blvd
Freedom, CA 95019-3025
Phone (831) 728-9324
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 |
|---|---|---|---|
| 64869 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482624000000",
"number": "1144765371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 FREEDOM BLVD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193025",
"telephone_number": "831-728-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 FREEDOM BLVD",
"city": "FREEDOM",
"state": "CA",
"postal_code": "950193025",
"telephone_number": "831-728-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "AI-HUONG",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-25",
"last_updated": "2016-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freedom, CA
- John V Crowder Jr., MD
- David a South MD & Kim M Albridge MD a Medical Corporation
- Deepak K Sachdev DDS Inc.
- Georgia Nicole Difiore, PHARM.D.
- Digestive Care, LLC
- Douglas a Liddicoat Inc
- Hai Phu Duong, PHARM D
- Edgar a. Gamboa, M.D. Medical Corp
- Edward T Bradbury MD a Professional Corporation
- Brandon Erickson, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.