Victor Cobi Tanthaphengxay, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD16629 Issued in AR

Practice address

1 Mercy Way Ste 50
Bella Vista, AR 72714-3000

Phone

(479) 876-6200

Fax

(479) 876-2232

NPI assigned

Jun 29, 2023

Last updated

Jun 29, 2023By the provider in NPPES

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cornerstone Pharmacy of Bella Vista LLC

  • Pharmacy
  • Bella Vista, AR
  • NPI 1043546799
  NPD
• Cornerstone Pharmacy of Bella Vista LLC

  • Long Term Care Pharmacy
  • Bella Vista, AR
  • NPI 1497431738
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1689351819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCY WAY STE 50",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143000",
            "telephone_number": "479-876-6200",
            "fax_number": "479-876-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY WAY STE 50",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143000",
            "telephone_number": "479-876-6200",
            "fax_number": "479-876-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTHAPHENGXAY",
        "first_name": "VICTOR",
        "middle_name": "COBI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD16629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Bella Vista, AR
• Providers in Bella Vista, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.