Organization Active NPI

Linda Vista Pharmacy

  • Community/Retail Pharmacy
  • Santa Ana, CA
National Provider Identifier
1902051774
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 43967 Issued in CA
Legal business name
LINDA VISTA PHARMACY
Practice address
520 W 17TH St Ste 7
Santa Ana, CA 92706-3614
Phone
(714) 542-8865
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Ms. Letu Thi Pho, RPH
Title
Pharmacist in Charge
Phone
(714) 542-8865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 43967 CA Primary

Addresses

Primary practice location

520 W 17TH St Ste 7
Santa Ana, CA 92706-3614

Mailing address

520 W 17TH St Ste 7
Santa Ana, CA 92706-3614
Phone (714) 542-8865

National Provider Directory

National Provider Directory

Locations

520 W 17th St
Ste 7
Santa Ana, CA 92706
Phone (714) 542-8865

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1902051774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 17TH ST STE 7",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063614",
            "telephone_number": "714-542-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 17TH ST STE 7",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063614",
            "telephone_number": "714-542-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA VISTA PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "PHO",
        "authorized_official_first_name": "LETU",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-542-8865",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 43967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.