Active NPI
Tung Thanh Lai, RPH
- Pharmacist
- Peoria, AZ
National Provider Identifier
1679090021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S022815
- Practice address
- 9040 W Peoria Ave
Peoria, AZ 85345-6406 - Phone
- (623) 979-2180
- Fax
- (623) 979-1881
- NPI assigned
- Aug 26, 2017
- 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 | S022815 | AZ | Primary |
Addresses
Primary practice location
9040 W Peoria Ave
Peoria, AZ 85345-6406
Mailing address
8963 W Ocotillo Rd
Glendale, AZ 85305-2057
Phone (714) 837-3088
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S022815 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1679090021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8963 W OCOTILLO RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853052057",
"telephone_number": "714-837-3088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 W PEORIA AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853456406",
"telephone_number": "623-979-2180",
"fax_number": "623-979-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAI",
"first_name": "TUNG",
"middle_name": "THANH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-26",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S022815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
- Randy Gunars Lacis, PHARM.D
- Martin J Lafollette, D.O.
- Tiffany Kay Lage, LPN
- Holly J Lago, C-FNP
- Pam Laha, PT
- Lake Pleasant Chiropractic, LLC
- Lake Pleasant Dentistry PC
- Lake Pleasant Family Dental
- Lake Pleasant Healthcare, Inc. (Lake Pleasant Post Acute Rehabilitation Center)
- Lake Pleasant Healthcare, Inc. (Lake Pleasant Post Acute Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.