Individual provider Active NPI

Thi B Ha

  • Pharmacy Technician
  • Garden Grove, CA
National Provider Identifier
1740958180
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
159424 Issued in CA
Practice address
14351 Flower St
Garden Grove, CA 92843-4613
Phone
(714) 383-7213
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 159424 CA Primary

Addresses

Primary practice location

14351 Flower St
Garden Grove, CA 92843-4613

Mailing address

14351 Flower St
Garden Grove, CA 92843-4613
Phone (714) 383-7213

Other practice location 1

14351 Flower St
Garden Grove, CA 92843-4613
Phone (714) 383-7213

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Spectrum

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

State licenses

LicenseStateTypeSpecialty
159424CAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1740958180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14351 FLOWER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434613",
            "telephone_number": "714-383-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14351 FLOWER ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434613",
            "telephone_number": "714-383-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14351 Flower St",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434613",
            "country_code": "US",
            "telephone_number": "714-383-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "THI",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "159424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Spectrum",
            "affiliation": "N",
            "address_1": "14351 Flower St",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928434613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.