Active NPI
Marianela Vasquez-Sosa, PHARMACIST
- Pharmacist
- Imperial Beach, CA
National Provider Identifier
1003413089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH86098
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH86098 | CA | MD | Pharmacist |
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.