Active NPI
Tomy Vuong
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- La Puente, CA
National Provider Identifier
1235655499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 67622
- Practice address
- 1647 N Hacienda Blvd
La Puente, CA 91744-1137 - Phone
- (626) 850-5318
- Fax
- (626) 850-5319
- NPI assigned
- Aug 19, 2017
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 67622 | CA | Primary |
Addresses
Primary practice location
1647 N Hacienda Blvd
La Puente, CA 91744-1137
Mailing address
1647 N Hacienda Blvd
La Puente, CA 91744-1137
Phone (626) 850-5318
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 |
|---|---|---|---|
| 67622 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPS Pharmacy Inc. | Current | Accepting new patients |
Locations
1647 N Hacienda Blvd
La Puente, CA 91744
Phone (626) 850-5318
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235655499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1647 N HACIENDA BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441137",
"telephone_number": "626-850-5318",
"fax_number": "626-850-5319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1647 N HACIENDA BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441137",
"telephone_number": "626-850-5318",
"fax_number": "626-850-5319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "TOMY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "67622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.