Active NPI
Laney Nicole Luong, PHARM D
- Pharmacist
- San Jose, CA
National Provider Identifier
1942772066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79020
- Practice address
- 260 International Circle
Building 4 Outpatient Pharmacy
San Jose, CA 95119-1130 - Phone
- (408) 728-5075
- NPI assigned
- Dec 31, 2018
- 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 | 79020 | CA | Primary |
Addresses
Primary practice location
260 International Circle
Building 4 Outpatient Pharmacy
San Jose, CA 95119-1130
Mailing address
763 Lakehaven Dr
Sunnyvale, CA 94089-2552
Phone (408) 728-5075
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 |
|---|---|---|---|
| 79020 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1942772066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 LAKEHAVEN DR",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940892552",
"telephone_number": "408-728-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 INTERNATIONAL CIRCLE",
"address_2": "BUILDING 4 OUTPATIENT PHARMACY",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951191130",
"telephone_number": "408-728-5075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUONG",
"first_name": "LANEY",
"middle_name": "NICOLE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.