Theresa Thien Phung, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

54040 Issued in CA

Practice address

17100 Euclid St
Fountain Valley, CA 92708-4004

Phone

(714) 966-7200

Fax

(714) 966-8172

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801925169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10879 GOLDENEYE AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084004",
            "telephone_number": "714-966-7200",
            "fax_number": "714-966-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHUNG",
        "first_name": "THERESA",
        "middle_name": "THIEN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "54040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phong H Bui Inc
• Don Q Phung, DO
• Lanh Manh Phung, M.D.
• Michelle Mai Phung
• Phi Anh Phung, RPH
• Kylan Phuong, BEHAVIOR TECHNICIAN
• Judy Ann Picazo, N.P.
• Manon Piche
• Lee D Pierce, D.C.
• Pierpoint Therapy Associates, Inc.

• Pharmacist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.