IndividualActive
Aivy Ngo
NPI 1821658592 · Pharmacy · Atascadero, CA
Provider details
- NPI number
- 1821658592
- Entity type
- Individual
- Primary specialty
- PharmacySuppliers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 80057 (CA)
Specialties & taxonomies
Suppliers
Practice location
8320 El Camino Real
Atascadero, CA 93422-5354
Phone: (805) 466-7032
Approximate (ZIP-level) locationGet directions
Mailing address
8320 El Camino Real
Atascadero, CA 93422-5354
Registry dates
- Enumerated
- 2019-06-16
- Last updated
- 2025-11-17
- Certified
- 2025-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.