Active NPI
Thao Phuong DO, RPH
- Pharmacist
- Cypress, CA
National Provider Identifier
1831753896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60677
- Practice address
- 10801 Walker St
Cypress, CA 90630-5043 - Phone
- (714) 226-4319
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- 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 | 60677 | CA | Primary |
Addresses
Primary practice location
10801 Walker St
Cypress, CA 90630-5043
Mailing address
1161 Ridgeside Dr
Monterey Park, CA 91754-3730
Phone (626) 537-5885
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1831753896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1161 RIDGESIDE DR",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917543730",
"telephone_number": "626-537-5885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 WALKER ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906305043",
"telephone_number": "714-226-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "THAO",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.