Anthony Quach

Primary specialty

PharmacistTaxonomy code 183500000X

License

75473 Issued in CA

Practice address

643 Santa Cruz Ave
Menlo Park, CA 94025-4502

Phone

(650) 321-1530

NPI assigned

Feb 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Menlo Park, CA
  • NPI 1427063718
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Sunnyvale, CA
  • NPI 1982619219
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1609315738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 REDWOOD AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950353816",
            "telephone_number": "408-386-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 SANTA CRUZ AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254502",
            "telephone_number": "650-321-1530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940871937",
            "country_code": "US",
            "telephone_number": "408-991-9013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2021-02-08",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Radiology Services
• Devin Edward Prouty, PHD
• Melissa Anne Puckett, MS
• Sandra Ann Pursell, PH.D.
• Jonathan Purtell
• Susan Elizabeth Quaglietti
• Qualium Corp
• Qualium Corp.
• Brian Quan, O.D.
• Vanessa Quesada Tavares, LVN

• Pharmacist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.