Individual provider Active NPI

Andrew Van Lien

  • Pharmacist
  • Redding, CA
National Provider Identifier
1417348715
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
45002 Issued in CA
Practice address
3637 Eureka Way
Redding, CA 96001-0177
Phone
(530) 768-1319
Fax
(530) 768-1321
NPI assigned
Feb 9, 2015
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45002 CA Primary

Addresses

Primary practice location

3637 Eureka Way
Redding, CA 96001-0177

Mailing address

3637 Eureka Way
Redding, CA 96001-0177
Phone (530) 768-1319

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

LicenseStateTypeSpecialty
45002CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lien Family Pharmacy Corporation CurrentSince May 31, 2020 Accepting new patients

Locations

3637 Eureka Way
Redding, CA 96001
Phone (530) 768-1319

Organizations & group practices 1

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": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1417348715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010177",
            "telephone_number": "530-768-1319",
            "fax_number": "530-768-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 EUREKA WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010177",
            "telephone_number": "530-768-1319",
            "fax_number": "530-768-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEN",
        "first_name": "ANDREW",
        "middle_name": "VAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.