Individual provider Active NPI

Ha Quyen Thi Ong, PHARM.D

  • Pharmacist
  • Banning, CA
National Provider Identifier
1174995385
Registry record updated May 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
69850 Issued in CA
Practice address
600 N Highland Springs Ave
Banning, CA 92220-3046
Phone
(951) 769-4888
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 69850 CA Primary

Addresses

Primary practice location

600 N Highland Springs Ave
Banning, CA 92220-3046

Mailing address

1357 Early Blue LN
Beaumont, CA 92223-2018
Phone (714) 467-6563

Other names 1

  • Quyen Thi Bui Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588982400000",
    "number": "1174995385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 EARLY BLUE LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922232018",
            "telephone_number": "714-467-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N HIGHLAND SPRINGS AVE",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203046",
            "telephone_number": "951-769-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONG",
        "first_name": "HA QUYEN",
        "middle_name": "THI",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2020-05-09",
        "certification_date": "2020-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "69850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUYEN",
            "last_name": "BUI",
            "middle_name": "THI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; 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.