Active NPI
Brian Qu, PHARMD
- Pharmacist
- La Puente, CA
National Provider Identifier
1619442274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79264
- Practice address
- 1425 N Hacienda Blvd
La Puente, CA 91744-1133 - Phone
- (626) 550-0295
- NPI assigned
- Oct 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79264 | CA | Primary |
Addresses
Primary practice location
1425 N Hacienda Blvd
La Puente, CA 91744-1133
Mailing address
3261 Willow Hollow Rd
Chino Hills, CA 91709-2808
Phone (626) 841-8004
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 |
|---|---|---|---|
| 79264 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1619442274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 WILLOW HOLLOW RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092808",
"telephone_number": "626-841-8004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 N HACIENDA BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441133",
"telephone_number": "626-550-0295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QU",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-10",
"last_updated": "2024-04-13",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.