Active NPI
Mary Kaldas
- Pharmacist
- Camarillo, CA
National Provider Identifier
1144633512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70458
- Practice address
- 5259 Mission Oaks Blvd
Camarillo, CA 93012-5422 - Phone
- (805) 482-0707
- NPI assigned
- Jun 3, 2014
- Sex
- Female
- 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 | 70458 | CA | Primary |
Addresses
Primary practice location
5259 Mission Oaks Blvd
Camarillo, CA 93012-5422
Mailing address
5259 Mission Oaks Blvd
Camarillo, CA 93012-5422
Phone (805) 482-0707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70458 | Other | CA | PHARMACIST |
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 |
|---|---|---|---|
| 70458 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1144633512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5259 MISSION OAKS BLVD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125422",
"telephone_number": "805-482-0707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5259 MISSION OAKS BLVD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930125422",
"telephone_number": "805-482-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALDAS",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-03",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "70458",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.