Individual provider Active NPI

Voralak Inthong, RPH

  • Pharmacist
  • Pleasanton, CA
National Provider Identifier
1306624960
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
88478 Issued in CA
Practice address
6440 Stoneridge Mall Rd Apt K220
Pleasanton, CA 94588-8079
Phone
(303) 304-3795
NPI assigned
Sep 15, 2023
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 88478 CA Primary

Addresses

Primary practice location

6440 Stoneridge Mall Rd Apt K220
Pleasanton, CA 94588-8079

Mailing address

6440 Stoneridge Mall Rd Apt K220
Pleasanton, CA 94588-8079
Phone (303) 304-3795

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
88478CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1306624960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 STONERIDGE MALL RD APT K220",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888079",
            "telephone_number": "303-304-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 STONERIDGE MALL RD APT K220",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888079",
            "telephone_number": "303-304-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INTHONG",
        "first_name": "VORALAK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "88478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.