Individual provider Active NPI

PO-an Lu, PHARM.D, RPH, CGP

  • Pharmacist
  • Garden Grove, CA
National Provider Identifier
1447774328
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH69811 Issued in CA
Practice address
12600 Hoover St
Garden Grove, CA 92841-4100
Phone
(714) 891-1800
Fax
(714) 891-1900
NPI assigned
Aug 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH69811 CA Primary

Addresses

Primary practice location

12600 Hoover St
Garden Grove, CA 92841-4100

Mailing address

17053 Glenfold Dr
Hacienda Heights, CA 91745-5726

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH69811CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Pharmacy Services Inc Past Accepting new patients
Senior Care Pharmacy Services Fairfield 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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1447774328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17053 GLENFOLD DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 HOOVER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928414100",
            "telephone_number": "714-891-1800",
            "fax_number": "714-891-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LU",
        "first_name": "PO-AN",
        "credential": "PHARM.D, RPH, CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH69811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

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

Verify at the official NPI Registry.