Active NPI
Wilson Lau, PHARMD, RPH
- Pharmacist
- Burlingame, CA
National Provider Identifier
1700360567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76948
- Practice address
- 1534 Plaza LN # 121
Burlingame, CA 94010-3204 - Phone
- (858) 405-0408
- NPI assigned
- Sep 18, 2018
- Last updated
- Sep 19, 2018
- 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 | 76948 | CA | Primary |
Addresses
Primary practice location
1534 Plaza LN # 121
Burlingame, CA 94010-3204
Mailing address
1534 Plaza LN # 121
Burlingame, CA 94010-3204
Phone (858) 405-0408
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)
- Enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jade 2 Pharmacy Inc | Current | Accepting new patients | |
| Jade Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Cupertino, CA
- NPI 1457813131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1700360567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1534 PLAZA LN # 121",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103204",
"telephone_number": "858-405-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1534 PLAZA LN # 121",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103204",
"telephone_number": "858-405-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "WILSON",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.