Active NPI
Cuong Manh DO, PHARMD
- Pharmacist
- Palmdale, CA
National Provider Identifier
1962037903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 51185
- Practice address
- 37160 47TH St E
Palmdale, CA 93552-4450 - Phone
- (661) 236-0015
- Fax
- (661) 236-0057
- NPI assigned
- Mar 10, 2020
- Sex
- Male
- 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 | 51185 | CA | Primary |
Addresses
Primary practice location
37160 47TH St E
Palmdale, CA 93552-4450
Mailing address
9351 Tudor LN
Garden Grove, CA 92841-3426
Phone (714) 553-7357
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1962037903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9351 TUDOR LN",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928413426",
"telephone_number": "714-553-7357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37160 47TH ST E",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935524450",
"telephone_number": "661-236-0015",
"fax_number": "661-236-0057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "CUONG",
"middle_name": "MANH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-10",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "51185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.