Active NPI
Shirley Ngo
- Pharmacist
- Lodi, CA
National Provider Identifier
1407269202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH65721
- Practice address
- 520 W Lodi Ave
Lodi, CA 95240-3425 - Phone
- (209) 368-5363
- Fax
- (209) 368-2702
- NPI assigned
- Jun 9, 2014
- 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 | RPH65721 | CA | Primary |
Addresses
Primary practice location
520 W Lodi Ave
Lodi, CA 95240-3425
Mailing address
520 W Lodi Ave
Lodi, CA 95240-3425
Phone (209) 368-5363
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 |
|---|---|---|---|
| RPH65721 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless 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.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402272000000",
"number": "1407269202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 W LODI AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952403425",
"telephone_number": "209-368-5363",
"fax_number": "209-368-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W LODI AVE",
"city": "LODI",
"state": "CA",
"postal_code": "952403425",
"telephone_number": "209-368-5363",
"fax_number": "209-368-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "SHIRLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-09",
"last_updated": "2014-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH65721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
- Yejide Ann Nelson-Glenn, TEACHING CREDENTIAL
- Kendra Elise Nelson
- Michelle Elizabeth Nelson, LMFT#114300
- New Family Christian Church (New Life Christian Counseling)
- Alexus Lan Ngo-Agard, MS
- Katrina Marie Nguyen, FNP
- Lien Thi Kim Nguyen, O.D.
- Linh Dong-Anh Nguyen, D.D.S.
- Michelle Nguyen, PA-C
- Tom Nguyen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.