Active NPI
Moumita Poddar
- Pharmacist
- Rancho Cordova, CA
National Provider Identifier
1033535927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59342
- Practice address
- 11833 Loisdale Way
Rancho Cordova, CA 95742-8029 - Phone
- (916) 342-4774
- NPI assigned
- Mar 15, 2014
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59342 | CA | Primary |
| Geriatric Pharmacist | 1835G0303X | 59342 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 59342 | CA | |
| Pharmacotherapy Pharmacist | 1835P1200X | 59342 | CA |
Addresses
Primary practice location
11833 Loisdale Way
Rancho Cordova, CA 95742-8029
Mailing address
11833 Loisdale Way
Rancho Cordova, CA 95742-8029
Phone (916) 342-4774
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 |
|---|---|---|---|
| 59342 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394841600000",
"number": "1033535927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11833 LOISDALE WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428029",
"telephone_number": "916-342-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11833 LOISDALE WAY",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "957428029",
"telephone_number": "916-342-4774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODDAR",
"first_name": "MOUMITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-15",
"last_updated": "2014-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59342",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "CA",
"license": "59342",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "59342",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "59342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.