Individual provider Active NPI

Olivia Chui Sang Lau, PHARMD

  • Pharmacist
  • Wallingford, CT
National Provider Identifier
1609469485
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0010604 Issued in CT
Practice address
10 Fairfield Blvd Unit C2
Wallingford, CT 06492-5903
Phone
(203) 691-9619
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 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 0010604 CT Primary

Addresses

Primary practice location

10 Fairfield Blvd Unit C2
Wallingford, CT 06492-5903

Mailing address

10 Fairfield Blvd Unit C2
Wallingford, CT 06492-5903
Phone (203) 691-9619

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

LicenseStateTypeSpecialty
0010604CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Pharmacy East Rock LTC CurrentSince Feb 14, 2021 Accepting new patients

Locations

10 Fairfield Blvd
Unit C2
Wallingford, CT 06492
Phone (203) 691-5405

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1609469485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD BLVD UNIT C2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925903",
            "telephone_number": "203-691-9619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD BLVD UNIT C2",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925903",
            "telephone_number": "203-691-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "OLIVIA",
        "middle_name": "CHUI SANG",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0010604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.