Active NPI
Jeffrey Lynn Foster
- Pharmacist
- Lake Forest, CA
National Provider Identifier
1093161846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41203
- Practice address
- 24271 Muirlands Blvd
Lake Forest, CA 92630-3001 - Phone
- (949) 472-6016
- Fax
- (949) 472-8603
- NPI assigned
- May 11, 2016
- Last updated
- May 11, 2016
- 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 | 41203 | CA | Primary |
Addresses
Primary practice location
24271 Muirlands Blvd
Lake Forest, CA 92630-3001
Mailing address
24271 Muirlands Blvd
Lake Forest, CA 92630-3001
Phone (949) 472-6016
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 |
|---|---|---|---|
| 41203 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1093161846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24271 MUIRLANDS BLVD",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303001",
"telephone_number": "949-472-6016",
"fax_number": "949-472-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24271 MUIRLANDS BLVD",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926303001",
"telephone_number": "949-472-6016",
"fax_number": "949-472-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSTER",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-11",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Forest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.