Lyra Cavada

Primary specialty

PharmacistTaxonomy code 183500000X

License

78564 Issued in CA

Practice address

1730 S Main St
Willits, CA 95490-4405

Phone

(707) 459-0554

NPI assigned

Sep 18, 2018

Last updated

Sep 21, 2018By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06034

  • Community/Retail Pharmacy
  • Willits, CA
  • NPI 1023127453
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

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

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1043794753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2956 BAY VILLAGE CIR APT 1053",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032285",
            "telephone_number": "626-208-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S MAIN ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954904405",
            "telephone_number": "707-459-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2956 Bay Village Cir Apt 1053",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954032285",
            "country_code": "US",
            "telephone_number": "626-208-7623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVADA",
        "first_name": "LYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Brekelmans
• Pamela Anne Brown, MFT
• Joleen Buffington, WHNP-BC
• Care B&B Inc
• Lucia Carrillo
• Paul Michael Charpentier, MD
• Janice Kathleen Cinek, RN
• Melinda Brook Clarke, LMFT
• Richard James Comer
• Lori Lynn Conners, MS, RN, CPNP-PC

• Pharmacist in Willits, CA
• Providers in Willits, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.