Individual provider Active NPI

Quynh Lai, PHARM.D.

  • Pharmacist
  • Huntington Beach, CA
National Provider Identifier
1790047504
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70519 Issued in CA
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

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
70519CAMDPharmacist
19184COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Apr 3, 2022 Accepting new patients
Walgreen Co PastSince Jul 25, 2019 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.

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.

Verify at the official NPI Registry.