Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 183500000X | Pharmacist | | PHY 45493 | CALIFORNIA | No |
| 2 | 183500000X | Pharmacist | | PHA 47900 | CALIFORNIA | No |
| 3 | 183500000X | Pharmacist | | PHA 35577 | CALIFORNIA | No |
| 4 | 183700000X | Pharmacy Technician | | TCH 20170 | CALIFORNIA | No |
| 5 | 183700000X | Pharmacy Technician | | TCH 26981 | CALIFORNIA | No |
| 6 | 183500000X | Pharmacist | | PHA 35592 | CALIFORNIA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | PHA454930 | MEDICAID | CALIFORNIA | |