Active NPI
Anh T Ngo, RPH
- Pharmacist
- South Lake Tahoe, CA
National Provider Identifier
1316580376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH79764
- Practice address
- 1043 Emerald Bay Rd
South Lake Tahoe, CA 96150-6210 - Phone
- (916) 297-2040
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- 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 | RPH79764 | CA | Primary |
Addresses
Primary practice location
1043 Emerald Bay Rd
South Lake Tahoe, CA 96150-6210
Mailing address
2187 Lake Tahoe Blvd Apt 15
South Lake Tahoe, CA 96150-6465
Phone (310) 947-4912
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | anhngo001@gmail.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH79764 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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.
-
- Pharmacy
- South Lake Tahoe, CA
- NPI 1174567523
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- Pharmacy
- Kapolei, HI
- NPI 1700565793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1316580376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2187 LAKE TAHOE BLVD APT 15",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506465",
"telephone_number": "310-947-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1043 EMERALD BAY RD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506210",
"telephone_number": "916-297-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "ANH",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-22",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH79764",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "anhngo001@gmail.com",
"affiliation": "N",
"endpointDescription": "anhngo001@gmail.com",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "South Lake Tahoe",
"address_1": "1043 Emerald Bay Rd",
"city": "South Lake Tahoe",
"state": "CA",
"country_code": "US",
"postal_code": "961506210",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.