Individual provider Active NPI

Mai Tram Ngoc Ngo

  • Pharmacist
  • Carmichael, CA
National Provider Identifier
1689082281
Registry record updated Jul 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57829 Issued in CA
Practice address
6005 Madison Ave
Carmichael, CA 95608-0521
Phone
(916) 534-1162
Fax
(916) 534-1158
NPI assigned
Jul 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57829 CA Primary

Addresses

Primary practice location

6005 Madison Ave
Carmichael, CA 95608-0521

Mailing address

6005 Madison Ave
Carmichael, CA 95608-0521
Phone (916) 534-1162

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

NPI Registry JSON

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

{
    "created_epoch": "1406419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406419200000",
    "number": "1689082281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 MADISON AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080521",
            "telephone_number": "916-534-1162",
            "fax_number": "916-534-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 MADISON AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080521",
            "telephone_number": "916-534-1162",
            "fax_number": "916-534-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "MAI TRAM",
        "middle_name": "NGOC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-27",
        "last_updated": "2014-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2014; 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.