Active NPI
Annika Queenie NG Lao
- Pharmacist
- El Segundo, CA
National Provider Identifier
1174233464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH86491
- Practice address
- 331 N Pacific Coast Hwy
El Segundo, CA 90245-4444 - Phone
- (310) 640-9651
- NPI assigned
- Nov 29, 2022
- 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 | RPH86491 | CA | Primary |
Addresses
Primary practice location
331 N Pacific Coast Hwy
El Segundo, CA 90245-4444
Mailing address
20233 Paseo Granada
Cerritos, CA 90703-7649
Phone (707) 688-6058
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH86491 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1174233464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20233 PASEO GRANADA",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907037649",
"telephone_number": "707-688-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 N PACIFIC COAST HWY",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454444",
"telephone_number": "310-640-9651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAO",
"first_name": "ANNIKA QUEENIE",
"middle_name": "NG",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH86491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.