Active NPI
Piranid Bush Charoensak, PHARMD
- Pharmacist
- Buena Park, CA
National Provider Identifier
1265966311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73572
- Practice address
- 7065 La Palma Ave
Buena Park, CA 90620-2424 - Phone
- (714) 228-2085
- NPI assigned
- Apr 15, 2017
- Last updated
- Apr 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 73572 | CA | Primary |
Addresses
Primary practice location
7065 La Palma Ave
Buena Park, CA 90620-2424
Mailing address
7065 La Palma Ave
Buena Park, CA 90620-2424
Phone (714) 228-2085
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73572 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492214400000",
"number": "1265966311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7065 LA PALMA AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202424",
"telephone_number": "714-228-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7065 LA PALMA AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906202424",
"telephone_number": "714-228-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAROENSAK",
"first_name": "PIRANID",
"middle_name": "BUSH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-15",
"last_updated": "2017-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.