Fetty Kuswanto, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 31587 Issued in CA

Practice address

1825 E Chapman Ave
Orange, CA 92867-7774

Phone

(714) 538-3382

Fax

(714) 538-4152

NPI assigned

May 26, 2010

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Orange, CA
  • NPI 1407965874
  NPD (past)
• Thrifty Payless Inc

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

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1134448319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677774",
            "telephone_number": "714-538-3382",
            "fax_number": "714-538-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928677774",
            "telephone_number": "714-538-3382",
            "fax_number": "714-538-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSWANTO",
        "first_name": "FETTY",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 31587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John a Kusske, MD
• Meghan Kussman
• Kyle Ronald Kuster
• Kusum M Ohri, MD Inc.
• Hirofumi Kusumoto
• Ashley Kwan
• David Anthony Kwan
• Kristi Kwan, DO
• Christina Kwok, OTR/L
• Debby Kwok

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.