Active NPI
Lyle Canida, PHARMD, MS, CPH
- Pharmacist
- Escondido, CA
National Provider Identifier
1023697141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS46562
- Practice address
- 1118 Orangewood Dr
Escondido, CA 92025-7505 - Phone
- (410) 514-6090
- NPI assigned
- Apr 6, 2021
- Sex
- Male
- 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 | PS46562 | FL | Primary |
Addresses
Primary practice location
1118 Orangewood Dr
Escondido, CA 92025-7505
Mailing address
1118 Orangewood Dr
Escondido, CA 92025-7505
Phone (410) 514-6090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS46562 | Other | FL | PHARMACIST LICENSE |
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
- Credentials
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS46562 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1023697141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ORANGEWOOD DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920257505",
"telephone_number": "410-514-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 ORANGEWOOD DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920257505",
"telephone_number": "410-514-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANIDA",
"first_name": "LYLE",
"credential": "PHARMD, MS, CPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS46562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS46562",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.