Individual provider Active NPI

Chao Thao

  • Pharmacist
  • Modesto, CA
National Provider Identifier
1760192223
Registry record updated Nov 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
87193 Issued in CA
Practice address
3848 McHenry Ave
Modesto, CA 95356-1586
Phone
(209) 342-0960
NPI assigned
Nov 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 87193 CA Primary

Addresses

Primary practice location

3848 McHenry Ave
Modesto, CA 95356-1586

Mailing address

3848 McHenry Ave
Modesto, CA 95356-1586
Phone (209) 342-0960

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
87193CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walmart Inc. CurrentSince Oct 5, 2025 Accepting new patients
Walmart Inc. PastSince Nov 27, 2022 Accepting new patients

Locations

3848 McHenry Ave
Modesto, CA 95356
Phone (209) 342-0949

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669248000000",
    "number": "1760192223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561586",
            "telephone_number": "209-342-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3848 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953561586",
            "telephone_number": "209-342-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAO",
        "first_name": "CHAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-24",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "87193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; 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.