Active NPI
Lisa Shuang Li, PHARM.D.
- Pharmacist
- Glendale, CA
National Provider Identifier
1861814873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69923
- Practice address
- 1122 E Broadway
Glendale, CA 91205-1316 - Phone
- (818) 547-0170
- NPI assigned
- Jan 9, 2014
- 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 | 69923 | CA | Primary |
Addresses
Primary practice location
1122 E Broadway
Glendale, CA 91205-1316
Mailing address
2437 Fontezuela Dr
Hacienda Heights, CA 91745-4814
Other practice location 1
1030 Colorado Blvd
Los Angeles, CA 90041-2502
Phone (323) 255-5130
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69923 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1861814873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2437 FONTEZUELA DR",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917454814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1122 E BROADWAY",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912051316",
"telephone_number": "818-547-0170"
}
],
"practiceLocations": [
{
"address_1": "1030 Colorado Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900412502",
"country_code": "US",
"telephone_number": "323-255-5130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "LISA",
"middle_name": "SHUANG",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "69923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.