Active NPI
Nhien My Luc
- Pharmacist
- Long Beach, CA
National Provider Identifier
1962060079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63042
- Practice address
- 5030 Long Beach Blvd
Long Beach, CA 90805-6317 - Phone
- (562) 984-2813
- NPI assigned
- Jun 4, 2019
- 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 | 63042 | CA | Primary |
Addresses
Primary practice location
5030 Long Beach Blvd
Long Beach, CA 90805-6317
Mailing address
12082 Myron Trapp Dr
Garden Grove, CA 92840-3362
Phone (714) 260-3302
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63042 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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 and National Provider Directory roles.
-
- Pharmacy
- Long Beach, CA
- NPI 1710085204
-
- Pharmacy
- Jurupa Valley, CA
- NPI 1780573113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1962060079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12082 MYRON TRAPP DR",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928403362",
"telephone_number": "714-260-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908056317",
"telephone_number": "562-984-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUC",
"first_name": "NHIEN",
"middle_name": "MY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-04",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.