Nancy Phan To

Primary specialty

PharmacistTaxonomy code 183500000X

License

83103 Issued in CA

Practice address

2115 Artesia Blvd Ste 100
Redondo Beach, CA 90278-3013

Phone

(424) 408-6006

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1356955074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 TRASK AVE",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432813",
            "telephone_number": "714-468-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ARTESIA BLVD STE 100",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783013",
            "telephone_number": "424-408-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "NANCY",
        "middle_name": "PHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Hoopes DDS Inc.
• Phyllis Tindall
• Natalie Tinnerman
• Tiny Tots Occupational Therapy, Inc.
• Christine To, OT
• Fonda Tokushige, LCSW
• Mahlleace Tomsin, D C.
• Yedda Gan Marcelino Tonelli, DPT ATC
• Topdoc Clinics Redondo Beach Inc.
• Topdoc Ocean Medical, Inc.

• Pharmacist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.