Individual provider Active NPI

Kathy Phuong Thao Bui, RPH

  • Pharmacist
  • Fountain Valley, CA
National Provider Identifier
1790500452
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
87590 Issued in CA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
87590CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth Inc CurrentSince Nov 24, 2024 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.

Verify at the official NPI Registry.