Active NPI
Quynh Lai, PHARM.D.
- Pharmacist
- Huntington Beach, CA
National Provider Identifier
1790047504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70519
- Practice address
- 4935 Warner Ave
Huntington Beach, CA 92649 - Phone
- (714) 377-3756
- Fax
- (714) 846-7246
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19184 | CO | |
| Pharmacist | 183500000X | 70519 | CA | Primary |
Addresses
Primary practice location
4935 Warner Ave
Huntington Beach, CA 92649
Mailing address
642 Citrus PL
Brea, CA 92821-3626
Other practice location 1
14 E Allen St
Castle Rock, CO 80108-7840
Phone (303) 663-6858
Other practice location 2
14 E Allen St
Castle Rock, CO 80108-7840
Phone (303) 663-6858
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.12140@store.walgreens.com |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70519 | CA | MD | Pharmacist |
| 19184 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4935 Warner Ave
Huntington Beach, CA 92649
Phone (714) 377-3756
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.
-
- Pharmacy
- Huntington Beach, CA
- NPI 1043515182
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1790047504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 CITRUS PL",
"city": "BREA",
"state": "CA",
"postal_code": "928213626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 WARNER AVE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92649",
"telephone_number": "714-377-3756",
"fax_number": "714-846-7246"
}
],
"practiceLocations": [
{
"address_1": "14 E Allen St",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801087840",
"country_code": "US",
"telephone_number": "303-663-6858",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 E Allen St",
"address_purpose": "LOCATION",
"city": "Castle Rock",
"state": "CO",
"postal_code": "801087840",
"country_code": "US",
"telephone_number": "303-663-6858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAI",
"first_name": "QUYNH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "19184",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70519",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.12140@store.walgreens.com",
"affiliation": "N",
"address_1": "4935 Warner Ave",
"city": "Huntington Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926494406",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.