Provider Demographics
NPI:1053332544
Name:CHAU, NGOC-HOA THI (PHARMACIST)
Entity type:Individual
Prefix:
First Name:NGOC-HOA
Middle Name:THI
Last Name:CHAU
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2559 S KING RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-1894
Mailing Address - Country:US
Mailing Address - Phone:408-532-1490
Mailing Address - Fax:408-532-0899
Practice Address - Street 1:2559 S KING RD
Practice Address - Street 2:SUITE 10
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-1894
Practice Address - Country:US
Practice Address - Phone:408-532-1490
Practice Address - Fax:408-532-0899
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY41190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA411900OtherMEDICAL PROVIDER NUMBER
NV10037OtherPHARMACIST LICENSE
CA44458OtherPHARMACIST LICENSE
CAPHY44458OtherPHARMY LICENSE
CA0563393OtherNABP
CAPHA411900Medicaid
CAPHA411900Medicaid
CAPHA411900Medicaid