Healthcare Provider Details

I. General information

NPI: 1477647873
Provider Name (Legal Business Name): NAO RX
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 VILLAGE SQ
ORINDA CA
94563
US

IV. Provider business mailing address

282 VILLAGE SQ
ORINDA CA
94563-2504
US

V. Phone/Fax

Practice location:
  • Phone: 925-254-1211
  • Fax: 925-254-1290
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number56809
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NAOMI TAKEI YUEN
Title or Position: OWNER
Credential: PHARMD
Phone: 925-395-3933