Elizabeth Susanna Pretorius

Primary specialty

PharmacistTaxonomy code 183500000X

License

56799 Issued in CA

Practice address

1500 Northgate Mall
San Rafael, CA 94903-3671

Phone

(415) 492-0888

Fax

(415) 492-0501

NPI assigned

Jun 11, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • San Rafael, CA
  • NPI 1962424077
  NPD (past)

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1013237197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NORTHGATE MALL",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033671",
            "telephone_number": "415-492-0888",
            "fax_number": "415-492-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NORTHGATE MALL",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033671",
            "telephone_number": "415-492-0888",
            "fax_number": "415-492-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETORIUS",
        "first_name": "ELIZABETH",
        "middle_name": "SUSANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "56799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wirote Praiphetsak, RDAEF
• Liza Preminger
• John Joseph Prendergast, PH.D., MFT
• Julia Prentice, CPS
• Lainie Press
• Pamela Pretty, PTA, MS
• Preventive Medical Center of Marin Inc
• Paul Pribuss, PAUL PRIBUSS
• Marian Elizabeth Price, MFT
• Maria Jose Prieto de Estebecorena, PH,D.

• Pharmacist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.