Individual provider Active NPI

Kathy Ou, PHARM.D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Diamond Bar, CA
National Provider Identifier
1366887416
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
62690 Issued in CA
Practice address
2707 S Diamond Bar Blvd
Suite 104
Diamond Bar, CA 91765-3500
Phone
(909) 594-8331
NPI assigned
May 2, 2013
Last updated
Oct 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 62690 CA Primary

Addresses

Primary practice location

2707 S Diamond Bar Blvd
Suite 104
Diamond Bar, CA 91765-3500

Mailing address

2707 S Diamond Bar Blvd
Suite 104
Diamond Bar, CA 91765-3500
Phone (909) 594-8331

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
62690CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1366887416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 S DIAMOND BAR BLVD",
            "address_2": "SUITE 104",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653500",
            "telephone_number": "909-594-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S DIAMOND BAR BLVD",
            "address_2": "SUITE 104",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653500",
            "telephone_number": "909-594-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OU",
        "first_name": "KATHY",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "62690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.