Active NPI
Minhson Buitran
- Pharmacist
- Covina, CA
National Provider Identifier
1295041952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 63476
- Practice address
- 139 N Grand Ave
Covina, CA 91724-2957 - Phone
- (626) 339-8616
- NPI assigned
- Aug 19, 2010
- 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 | RPH 63476 | CA | Primary |
Addresses
Primary practice location
139 N Grand Ave
Covina, CA 91724-2957
Mailing address
15035 Orangewood Dr
Chino Hills, CA 91709-3773
Phone (626) 500-7604
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 |
|---|---|---|---|
| RPH 63476 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Covina, CA
- NPI 1295844579
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1295041952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15035 ORANGEWOOD DR",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917093773",
"telephone_number": "626-500-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 N GRAND AVE",
"city": "COVINA",
"state": "CA",
"postal_code": "917242957",
"telephone_number": "626-339-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUITRAN",
"first_name": "MINHSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 63476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.