Active NPI
Vincent Luong, RPH
- Pharmacist
- Sonora, CA
National Provider Identifier
1346876760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82179
- Practice address
- 13763 Mono Way
Sonora, CA 95370-8813 - Phone
- (209) 532-6973
- NPI assigned
- Mar 17, 2020
- Last updated
- Mar 17, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 82179 | CA | Primary |
Addresses
Primary practice location
13763 Mono Way
Sonora, CA 95370-8813
Mailing address
9652 Woodbury Ave
Garden Grove, CA 92844-2816
Phone (714) 949-7868
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 |
|---|---|---|---|
| 82179 | CA | MD | Clinical Social Worker |
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, 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": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1346876760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9652 WOODBURY AVE",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928442816",
"telephone_number": "714-949-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13763 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953708813",
"telephone_number": "209-532-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "VINCENT",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
- Danett L Lozano, LVN
- Carly Lucchesi, RDN
- Cynthia Ann Luce, RDH
- Tamara Frances Lund, DC, DACNB
- James Michael Lundeen, PT
- Robert Lyons, M.D.
- M a C T Health Board Incorporated (MACT Behavioral Health, Sonora)
- M a C T Health Board Incorporated (MACT Medical Sonora)
- M a C T Health Board Incorporated (MACT Dental, Sonora)
- M a C T Health Board Incorporated (MACT Sonora Women's Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.