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JOHNNY K THAI
NPI 1164069340
Pharmacist - Ambulatory Care in Oakland, CA

Active since December 05, 2019
3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Dec 5, 2019 (2 updates tracked since 2019).

About Johnny K Thai NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHNNY K THAI (NPI 1164069340) is an individual ambulatory care provider in Oakland, California, licensed in California (79259) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1164069340
Entity TypeIndividualMale
Primary Taxonomy1835P2201X
Provider Legal NameJOHNNY K THAI
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address3600 BroadwayOakland, CA 94611-5730 · (415) 203-5142
Phone(510) 752-1000
Sole ProprietorYes
Enumeration DateDecember 5, 2019
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1164069340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Ambulatory CarePharmacy Service Providers
Taxonomy Code1835P2201X
License✔ Licensed in CA · 79259
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
3600 BROADWAY, Oakland, CA 94611
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OSAMA MOHAMED EL-SAYED MD, PHD
Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
TRAM KHUONG
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-4200
CHRISTIAN F. SCHMUTZ MD
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
CHRISTOPHER AARON HUDSON RT
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-8886
ADAM BUIE
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. JUSTIN B FONG MD
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
JASMINE THAI LU MD
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
MARGARET COSGROVE DPT
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Thai's NPI number?

The NPI number for Johnny Thai is 1164069340. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Johnny Thai located?

Johnny Thai practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Johnny Thai's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Ambulatory Care, with taxonomy code 1835P2201X.

When was this NPI record last updated?

The NPPES record for Johnny Thai was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.