Active NPI
Kathy Phuong Thao Bui, RPH
- Pharmacist
- Fountain Valley, CA
National Provider Identifier
1790500452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 87590
- Practice address
- 11100 Warner Ave Ste 1
Fountain Valley, CA 92708-7500 - Phone
- (657) 300-6633
- Fax
- (657) 300-6633
- NPI assigned
- Nov 18, 2024
- Last updated
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 87590 | CA | Primary |
Addresses
Primary practice location
11100 Warner Ave Ste 1
Fountain Valley, CA 92708-7500
Mailing address
11100 Warner Ave Ste 1
Fountain Valley, CA 92708-7500
Phone (657) 300-6633
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87590 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth Inc | Current | Accepting new patients |
Locations
11100 Warner Ave
Ste 1
Fountain Valley, CA 92708
Phone (714) 979-9600
Organizations & group practices 1
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": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1790500452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 1",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087500",
"telephone_number": "657-300-6633",
"fax_number": "657-300-6633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 1",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087500",
"telephone_number": "657-300-6633",
"fax_number": "657-300-6633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "KATHY",
"middle_name": "PHUONG THAO",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "87590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.