Phuong Lai

Primary specialty

PharmacistTaxonomy code 183500000X

License

79323 Issued in CA

Practice address

909 Grand Ave
San Rafael, CA 94901-3505

Phone

(415) 258-1649

NPI assigned

Jan 21, 2019

Sex

Female

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

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.

• Longs Drug Stores California LLC

  • Pharmacy
  • Greenbrae, CA
  • NPI 1376585182
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1649744962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 WOODSIDE RD APT 20",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613642",
            "telephone_number": "916-504-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GRAND AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013505",
            "telephone_number": "415-258-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Bon Air Ctr",
            "address_purpose": "LOCATION",
            "city": "Greenbrae",
            "state": "CA",
            "postal_code": "949043017",
            "country_code": "US",
            "telephone_number": "415-461-9093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAI",
        "first_name": "PHUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Svedberg Lafferty
• Rajena Laffey
• Cesar Sangalang Lagleva Jr., LCSW
• Mikoyan Lagrimas, DDS
• Jennifer B. Lai, M.SC., PHARM.D.
• Shih-Ni Lai, OTR/L, CLT
• Stephanie Claire Lai
• Susan Lake, PSYD
• Anita Lam
• Annie Lam, RDH

• Pharmacist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.