Active NPI
John Arnold, RPH
- Pharmacist
- Mammoth Lakes, CA
National Provider Identifier
1144651365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29852
- Practice address
- 437 Old Mammoth Rd
Mammoth Lakes, CA 93546-2013 - Phone
- (760) 934-4337
- Fax
- (760) 934-8097
- NPI assigned
- Dec 13, 2013
- Last updated
- Dec 13, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 29852 | CA | Primary |
Addresses
Primary practice location
437 Old Mammoth Rd
Mammoth Lakes, CA 93546-2013
Mailing address
437 Old Mammoth Rd
PO Box 142
Mammoth Lakes, CA 93546-0142
Phone (760) 934-4337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29852 | Other | CA | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29852 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1144651365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 OLD MAMMOTH RD",
"address_2": "PO BOX 142",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935460142",
"telephone_number": "760-934-4337",
"fax_number": "760-934-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 OLD MAMMOTH RD",
"city": "MAMMOTH LAKES",
"state": "CA",
"postal_code": "935462013",
"telephone_number": "760-934-4337",
"fax_number": "760-934-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNOLD",
"first_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "29852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "29852",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mammoth Lakes, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.