Thanh Van, PHARM.D.,

Primary specialty

PharmacistTaxonomy code 183500000X

License

55410 Issued in CA

Practice address

175 E 17TH St
Costa Mesa, CA 92627-3708

Phone

(949) 631-9223

Fax

(949) 631-6907

NPI assigned

Dec 16, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Longs Drug Stores California LLC

  • Community/Retail Pharmacy
  • Costa Mesa, CA
  • NPI 1467494278
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1992160048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9352 HUDSON DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467933",
            "telephone_number": "714-588-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E 17TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273708",
            "telephone_number": "949-631-9223",
            "fax_number": "949-631-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "THANH",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Van Guyse
• Jared Geoffrey Van Haeren
• Tracy Van Horn, RN, MN, FNP
• Vyvy Roxanne Van Horne, M.S.
• Paris Van, PHARM. D
• Zoe Soleil Vandehey
• Ariani Vandini
• Charlotte L Vandyck
• Eric Vanek, D.D.S.
• Vanguard University

• Pharmacist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.