One Stop Pharmacare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ONE STOP PHARMACARE INC

Practice address

4950 San Bernardino St
101A
Montclair, CA 91763-2328

Phone

(909) 445-0805

Fax

(909) 621-5732

NPI assigned

Nov 9, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Vanson T Luu, PHARM DNPI 1720353832

Title

President/ Pharmacist

Phone

(909) 445-0805

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CANARY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanson Tradzu Luu, PHARMD

  • Pharmacist
  • Moreno Valley, CA
  • NPI 1720353832
  NPD Authorized official

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1457724627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST",
            "address_2": "101A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "909-445-0805",
            "fax_number": "909-621-5732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 SAN BERNARDINO ST",
            "address_2": "101A",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632328",
            "telephone_number": "909-445-0805",
            "fax_number": "909-621-5732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP PHARMACARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "VANSON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/ PHARMACIST",
        "authorized_official_telephone_number": "909-445-0805",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457724627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANARY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CANARY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Montclair, CA
• Providers in Montclair, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.