Mario Chu, RPH

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

43011 Issued in CA

Practice address

1645 E 103Rd St
Los Angeles, CA 90002-2923

Phone

(323) 564-5787

NPI assigned

Mar 6, 2019

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

Credentials

Registered Pharmacist

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Los Angeles, CA
  • NPI 1609811504
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1639637820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 MEDFORD RD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071703",
            "telephone_number": "626-510-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 E 103RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900022923",
            "telephone_number": "323-564-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "MARIO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "43011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Kuo-Liang Chu, MD
• Kevin Chu, M.D.
• Kevin Tran Chu, M.D.
• Kristeen Chu, DDS
• Lisa Chu, DDS, MS
• Mark Chu, PT
• Megan Quynh Chu
• Michelle K.L Chu, PHARM.D.
• Neville Chu, D.P.T.
• Paul Hung-Jen Chu, M.D.

• Ambulatory Care Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.