Active NPI
Selina Liang
- Pharmacist
- Gardena, CA
National Provider Identifier
1346854833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83615
- Practice address
- 2169 W Redondo Beach Blvd
Gardena, CA 90247-3625 - Phone
- (310) 515-3783
- NPI assigned
- Sep 2, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83615 | CA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 20614 | NV |
Addresses
Primary practice location
2169 W Redondo Beach Blvd
Gardena, CA 90247-3625
Mailing address
2169 W Redondo Beach Blvd
Gardena, CA 90247-3625
Phone (310) 515-3783
Other practice location 1
55 S Valle Verde Dr
Henderson, NV 89012-3433
Phone (702) 837-6117
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 |
|---|---|---|---|
| 83615 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smith'S Food & Drug Centers Inc | Past | Accepting new patients | |
| Smiths Food & Drug Centers 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
- Henderson, NV
- NPI 1881585248
-
- Community/Retail Pharmacy
- Henderson, NV
- NPI 1477578094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1346854833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2169 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473625",
"telephone_number": "310-515-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473625",
"telephone_number": "310-515-3783"
}
],
"practiceLocations": [
{
"address_1": "55 S Valle Verde Dr",
"address_purpose": "LOCATION",
"city": "Henderson",
"state": "NV",
"postal_code": "890123433",
"country_code": "US",
"telephone_number": "702-837-6117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIANG",
"first_name": "SELINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83615",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NV",
"license": "20614",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.