Individual provider Active NPI

Marianela Vasquez-Sosa, PHARMACIST

  • Pharmacist
  • Imperial Beach, CA
National Provider Identifier
1003413089
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH86098 Issued in CA
Practice address
570 10TH St
Imperial Beach, CA 91932-1546
Phone
(619) 942-3110
NPI assigned
Oct 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH86098 CA Primary

Addresses

Primary practice location

570 10TH St
Imperial Beach, CA 91932-1546

Mailing address

570 10TH St
Imperial Beach, CA 91932-1546
Phone (619) 942-3110

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

LicenseStateTypeSpecialty
RPH86098CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1003413089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 10TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321546",
            "telephone_number": "619-942-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 10TH ST",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321546",
            "telephone_number": "619-942-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ-SOSA",
        "first_name": "MARIANELA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-03",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH86098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.

Verify at the official NPI Registry.