Organization Active NPI

Medlink Pharmaceutical Services, Inc.

  • Pharmacotherapy Pharmacist
  • Elk Grove, CA
National Provider Identifier
1922291491
Registry record updated Aug 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
09-00006418 Issued in CA
Legal business name
MEDLINK PHARMACEUTICAL SERVICES, INC.
Practice address
5217 Burberry CT
Elk Grove, CA 95757-3297
Phone
(916) 479-5728
Fax
(916) 690-8225
NPI assigned
Aug 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2007

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

Authorized official

Name
Dr. Brent Q. Luu, PHARM.D.NPI 1336234483
Title
President
Phone
(916) 479-5728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P1200X 09-00006418 CA Primary

Addresses

Primary practice location

5217 Burberry CT
Elk Grove, CA 95757-3297

Mailing address

5217 Burberry CT
Elk Grove, CA 95757-3297
Phone (916) 479-5728

Other identifiers 1

IdentifierTypeStateIssuer
09-00006418OtherCAGENERAL BUSINESS LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187481600000",
    "number": "1922291491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5217 BURBERRY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573297",
            "telephone_number": "916-479-5728",
            "fax_number": "916-690-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 BURBERRY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957573297",
            "telephone_number": "916-479-5728",
            "fax_number": "916-690-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLINK PHARMACEUTICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-19",
        "last_updated": "2007-08-19",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-479-5728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "09-00006418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL BUSINESS LICENSE",
            "identifier": "09-00006418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

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