Daisy Petcharamuk

Primary specialty

PharmacistTaxonomy code 183500000X

License

63366 Issued in CA

Practice address

26471 Carl Boyer Dr
Santa Clarita, CA 91350-2996

Phone

(661) 259-0854

Fax

(661) 259-4753

NPI assigned

Aug 4, 2014

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 4, 2014.

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1124437181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26471 CARL BOYER DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502996",
            "telephone_number": "661-259-0854",
            "fax_number": "661-259-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26471 CARL BOYER DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502996",
            "telephone_number": "661-259-0854",
            "fax_number": "661-259-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCHARAMUK",
        "first_name": "DAISY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "63366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Perez
• Jessica Penelope Perez
• Karissa Perez
• Elizabeth Ashley Persall, MSW
• Essie Peschong, RN
• Peter Nicolazzo, M.D., Inc
• Cynthia Peter
• Chad A Peters, ATC
• Luke Christopher Peters, MD
• Marcy A Petrique

• All providers in Santa Clarita, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.