Michelle Ngoc Pham Lopez, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

51954 Issued in CA

Practice address

3911 S Bristol St
Santa Ana, CA 92704-7405

Phone

(714) 556-7183

NPI assigned

May 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962068429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047405",
            "telephone_number": "714-556-7183",
            "fax_number": "714-556-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047405",
            "telephone_number": "714-556-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MICHELLE",
        "middle_name": "NGOC PHAM",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376588269",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "1376588269",
            "affiliation": "Y",
            "affiliationName": "GARFIELD BEACH CVS LLC",
            "address_1": "3911 S Bristol St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927047427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Lopez
• Melissa Leanne Lopez
• Mercedes Janet Lopez
• Michelle Lopez
• Michelle Lorraine Lopez
• Nadia Lopez
• Nancy Tereza Lopez
• Ned Lopez
• Ralph Lopez
• Reylena Monique List Lopez, LCSW

• Pharmacist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.