NPIMap

Organization Active NPI

My Lan Pharmacy

  • Pharmacist
  • Oakland, CA
National Provider Identifier
1790840072
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40599 Issued in CA
Legal business name
MY LAN PHARMACY
Practice address
401 E 18TH St
Suite B
Oakland, CA 94606-1850
Phone
(510) 451-1916
Fax
(510) 451-1916
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Nga Tuyet Dang
Title
Owner
Phone
(510) 451-1916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 40599 CA Primary

Addresses

Primary practice location

401 E 18TH St
Suite B
Oakland, CA 94606-1850

Mailing address

401 E 18TH St
Suite B
Oakland, CA 94606-1850
Phone (510) 451-1916

Other identifiers 1

IdentifierTypeStateIssuer
PHA356880MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
My Lan Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

401 E 18th St
#B
Oakland, CA 94606
Phone (510) 451-1916

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1790840072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 18TH ST",
            "address_2": "SUITE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061850",
            "telephone_number": "510-451-1916",
            "fax_number": "510-451-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 18TH ST",
            "address_2": "SUITE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061850",
            "telephone_number": "510-451-1916",
            "fax_number": "510-451-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY LAN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "NGA",
        "authorized_official_middle_name": "TUYET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-451-1916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA356880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.