Active NPI
Jimmy To, PHARMD
- Pharmacist
- Tustin, CA
National Provider Identifier
1790418895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58167
- Practice address
- 17400 Irvine Blvd Ste P
Tustin, CA 92780-3030 - Phone
- (714) 505-2872
- NPI assigned
- Jul 6, 2022
- 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 | 58167 | CA | Primary |
Addresses
Primary practice location
17400 Irvine Blvd Ste P
Tustin, CA 92780-3030
Mailing address
1403 Durfee Ave
South El Monte, CA 91733-3933
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Health Services Inc | Current | Accepting new patients | |
| Unique Health Services Inc | Past | Accepting new patients |
Locations
17400 Irvine Blvd
Ste P
Tustin, CA 92780
Phone (714) 505-2872
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1790418895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 DURFEE AVE",
"city": "SOUTH EL MONTE",
"state": "CA",
"postal_code": "917333933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17400 IRVINE BLVD STE P",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803030",
"telephone_number": "714-505-2872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TO",
"first_name": "JIMMY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2022-07-06",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.