Bich-Van Thi Cao, PHARM.D
Individual provider Active NPI Pharmacist · Pace, FL
NPI 1942924717 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1942924717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS65708 (FL)
- Practice address
- 3888 Highway 90
Pace, FL 32571-1014 - Phone
- (850) 994-2229
- NPI assigned
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24190 | CO | MD | Pharmacist |
| PS65708 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24190 | CO | |
| Pharmacist | 183500000X | PS65708 | FL | Yes |
Addresses
Primary practice location
3888 Highway 90
Pace, FL 32571-1014
Mailing address
16779 Trail Sky Cir
Parker, CO 80134-3041
Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.