Active NPI
Sophea Tim, PHARMD
- Pharmacist
- Downey, CA
National Provider Identifier
1376063933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57652
- Practice address
- 11525 Brookshire Avenue Suite 400
Downey, CA 90241 - Phone
- (562) 869-4497
- Fax
- (562) 869-6317
- NPI assigned
- Jun 26, 2017
- Sex
- Female
- 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 | 57652 | CA | Primary |
Addresses
Primary practice location
11525 Brookshire Avenue Suite 400
Downey, CA 90241
Mailing address
18 Centerpointe Drive
La Palma, CA 90623
Phone (714) 676-2458
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57652 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498435200000",
"number": "1376063933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 CENTERPOINTE DRIVE",
"city": "LA PALMA",
"state": "CA",
"postal_code": "90623",
"telephone_number": "714-676-2458",
"fax_number": "714-452-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11525 BROOKSHIRE AVENUE SUITE 400",
"city": "DOWNEY",
"state": "CA",
"postal_code": "90241",
"telephone_number": "562-869-4497",
"fax_number": "562-869-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIM",
"first_name": "SOPHEA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-26",
"last_updated": "2017-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.