Individual provider Active NPI

Danielle Tatusko, PHARM.D.

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1033512652
Registry record updated Sep 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71516 Issued in CA
Practice address
8694 Lake Murray Blvd
San Diego, CA 92119-2828
Phone
(619) 460-5978
NPI assigned
Sep 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71516 CA Primary

Addresses

Primary practice location

8694 Lake Murray Blvd
San Diego, CA 92119-2828

Mailing address

10575 Lansford LN
San Diego, CA 92126-5902
Phone (315) 430-8010

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
71516CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1411862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411862400000",
    "number": "1033512652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 LANSFORD LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921265902",
            "telephone_number": "315-430-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8694 LAKE MURRAY BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192828",
            "telephone_number": "619-460-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUSKO",
        "first_name": "DANIELLE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-28",
        "last_updated": "2014-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 28, 2014; 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.