Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1770931701 Deactivated / Inactive NPI Male Practitioner

Duc Ta

Pharmacist • San Pedro, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Duc Ta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2016
NPI Deactivation Date August 30, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Duc Ta was a registered Pharmacist practicing in San Pedro, CA. Throughout an active medical career spanning 7 years, Duc Ta provided care at the practice location at 950 N WESTERN AVE until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

950 N Western Ave

San Pedro, CA 907322427

Telephone 3108327258
Associated Practice Facility / Clinic
🏢 Garfield Beach Cvs Llc Facility NPI 1740225630

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in San Pedro, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
40 Specialists

Practicing in San Pedro, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 44812

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1003574807

Registered Pharmacist

Laura Sun

Pharmacist

NPI 1396375044
NPI 1477190569
Brian Ho

Pharmacist

NPI 1669011326
Alicia Roker

Pharmacist

NPI 1720438526
Phucloc Luu

Pharmacist

NPI 1801244900

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 30, 2023

Record deactivated on August 30, 2023

NPI Profile Active May 31, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 31, 2016

Registered at 950 N WESTERN AVE, SAN PEDRO, CA 907322427 (Tel: 3108327258)

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Updated Business Mailing Address May 31, 2016

Registered at 950 N WESTERN AVE, SAN PEDRO, CA 907322427

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Provider Name / Credentials Updated May 31, 2016

Recorded as DUC TA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2016

Pharmacist (License #44812 in CA)

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Initial NPI Registration & Enumeration May 31, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770931701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2016
Last Update: May 31, 2016
Deactivation Date: August 30, 2023

Mailing Address

950 N Western Ave

San Pedro, CA 907322427

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.