Active NPI
Misty Laree Cole
- Pharmacist
- San Diego, CA
National Provider Identifier
1003356569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42687
- Practice address
- 8766 Navajo Rd
San Diego, CA 92119-2722 - Phone
- (619) 667-8764
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42687 | CA | Primary |
Addresses
Primary practice location
8766 Navajo Rd
San Diego, CA 92119-2722
Mailing address
8766 Navajo Rd
San Diego, CA 92119-2722
Phone (619) 667-8764
Other names 1
- Misty Laree Cole
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42687 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1003356569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8766 NAVAJO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192722",
"telephone_number": "619-667-8764",
"fax_number": "858-755-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8766 NAVAJO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921192722",
"telephone_number": "619-667-8764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "MISTY",
"middle_name": "LAREE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "COLE",
"middle_name": "LAREE",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.