Individual provider Active NPI

Elizabeth Ren Qi, PHARMD

  • Pharmacist
  • Temple City, CA
National Provider Identifier
1942718259
Registry record updated Jan 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
77224 Issued in CA
Practice address
9670 Las Tunas Dr
Temple City, CA 91780-2139
Phone
(626) 872-6406
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 77224 CA Primary

Addresses

Primary practice location

9670 Las Tunas Dr
Temple City, CA 91780-2139

Mailing address

9670 Las Tunas Dr
Temple City, CA 91780-2139
Phone (626) 872-6406

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

LicenseStateTypeSpecialty
77224CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1942718259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802139",
            "telephone_number": "626-872-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 LAS TUNAS DR",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802139",
            "telephone_number": "626-872-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QI",
        "first_name": "ELIZABETH",
        "middle_name": "REN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.