Active NPI
Mark Ian Lua, PHARMD
- Pharmacist
- Long Beach, CA
National Provider Identifier
1194358093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82082
- Practice address
- 3500 E Pacific Coast Hwy
Long Beach, CA 90804-1904 - Phone
- (341) 356-2494
- NPI assigned
- Feb 19, 2020
- Sex
- Male
- 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 | 82082 | CA | Primary |
Addresses
Primary practice location
3500 E Pacific Coast Hwy
Long Beach, CA 90804-1904
Mailing address
22021 E Snow Creek Dr
Walnut, CA 91789-1496
Phone (909) 573-5218
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AIDS Healthcare Foundation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1194358093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22021 E SNOW CREEK DR",
"city": "WALNUT",
"state": "CA",
"postal_code": "917891496",
"telephone_number": "909-573-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E PACIFIC COAST HWY",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908041904",
"telephone_number": "341-356-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUA",
"first_name": "MARK IAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.