Linda Thai Pungpravat, PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

76380 Issued in CA

Practice address

13788 Roswell Ave Ste 158
Chino, CA 91710-1409

Phone

(909) 378-7301

Fax

(909) 378-7071

NPI assigned

May 6, 2018

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

Other names 1

• Linda Thai Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Mixwell Pharmacy LLC

  • Compounding Pharmacy
  • Chino, CA
  • NPI 1427932920
  NPD Authorized official

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

{
    "created_epoch": "1525564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1699264671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE STE 158",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101409",
            "telephone_number": "909-378-7301",
            "fax_number": "909-378-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE STE 158",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101409",
            "telephone_number": "909-378-7301",
            "fax_number": "909-378-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNGPRAVAT",
        "first_name": "LINDA",
        "middle_name": "THAI",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-06",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "THAI",
            "credential": "PHARMD.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Chino, CA
• Providers in Chino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.