Active NPI
Tara Thuy Mai, PHARM. D
- Pharmacist
- Anaheim, CA
National Provider Identifier
1548402597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17107
- Practice address
- 2157 S Spinnaker St
Anaheim, CA 92802 - Phone
- (714) 855-6249
- NPI assigned
- Apr 6, 2009
- Last updated
- Apr 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46132 | TX | |
| Pharmacist | 183500000X | 17107 | NV | Primary |
Addresses
Primary practice location
2157 S Spinnaker St
Anaheim, CA 92802
Mailing address
2157 S Spinnaker St
Anaheim, CA 92802
Phone (714) 855-6249
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 |
|---|---|---|---|
| 17107 | NV | MD | Pharmacist |
| 46132 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238976000000",
"number": "1548402597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2157 S SPINNAKER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92802",
"telephone_number": "714-855-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 S SPINNAKER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92802",
"telephone_number": "714-855-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAI",
"first_name": "TARA",
"middle_name": "THUY",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-06",
"last_updated": "2009-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46132",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.