Individual provider Active NPI

Tina Camanh Li, PHARMD

  • Pharmacist
  • Livermore, CA
National Provider Identifier
1619216652
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65635 Issued in CA
Practice address
1951 Holmes St
Livermore, CA 94550-6015
Phone
(925) 447-7762
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65635 CA Primary

Addresses

Primary practice location

1951 Holmes St
Livermore, CA 94550-6015

Mailing address

108 Boxford PL
San Ramon, CA 94583-3314
Phone (916) 216-4122

Other practice location 1

21001 San Ramon Valley Blvd
San Ramon, CA 94583-3469
Phone (925) 828-8670

Other names 1

  • Cam Anh Thi Lam Former name

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
65635CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1619216652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 BOXFORD PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945833314",
            "telephone_number": "916-216-4122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 HOLMES ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945506015",
            "telephone_number": "925-447-7762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21001 San Ramon Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945833469",
            "country_code": "US",
            "telephone_number": "925-828-8670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "TINA",
        "middle_name": "CAMANH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAM ANH",
            "last_name": "LAM",
            "middle_name": "THI",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.