Lawrence Eugene Tak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

55398 Issued in CA

Practice address

30530 Rancho California Rd
Temecula, CA 92591-3277

Phone

(951) 699-7230

Fax

(951) 694-5645

NPI assigned

Jan 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eugene Lawrence Tak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1205108602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30530 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913277",
            "telephone_number": "951-694-0055",
            "fax_number": "951-694-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30530 RANCHO CALIFORNIA RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913277",
            "telephone_number": "951-699-7230",
            "fax_number": "951-694-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAK",
        "first_name": "LAWRENCE",
        "middle_name": "EUGENE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENE",
            "last_name": "TAK",
            "middle_name": "LAWRENCE",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles S. Taft, M.D.
• Tiffani Taft
• Jasmine Valle Taheri, BS
• Melika Taheri
• Mariam Tahiry
• Cerin Takeuchi, A.C.S.W
• Tal D. Jergensen, DDS Inc
• Jasmine Talamantes
• Angela Elizabeth Talarzyk, LCSW
• Kristy Eve Talavera, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.