Individual provider Active NPI

David Isami Igarashi, PHARMD

  • Pharmacist
  • Upland, CA
National Provider Identifier
1093466450
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH35481 Issued in CA
Practice address
954 W Foothill Blvd Ste 6D
Upland, CA 91786-3782
Phone
(909) 608-1832
Fax
(909) 608-1871
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH35481 CA Primary

Addresses

Primary practice location

954 W Foothill Blvd Ste 6D
Upland, CA 91786-3782

Mailing address

954 W Foothill Blvd Ste 6D
Upland, CA 91786-3782
Phone (909) 608-1832

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
RPH35481CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Security Pharmacy, Inc CurrentSince Jan 1, 2022 Accepting new patients

Locations

954 W Foothill Blvd
Ste 6D
Upland, CA 91786
Phone (909) 608-1832

1183 E Foothill Blvd
Ste 130
Upland, CA 91786
Phone (909) 608-1832

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1093466450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD STE 6D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863782",
            "telephone_number": "909-608-1832",
            "fax_number": "909-608-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 W FOOTHILL BLVD STE 6D",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863782",
            "telephone_number": "909-608-1832",
            "fax_number": "909-608-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGARASHI",
        "first_name": "DAVID",
        "middle_name": "ISAMI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH35481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2024; 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.