Active NPI
Alfred Metwashla
- Pharmacist
- Lake Elsinore, CA
National Provider Identifier
1144760729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74725
- Practice address
- 18269 Collier Ave
Lake Elsinore, CA 92530 - Phone
- (760) 670-9463
- NPI assigned
- Mar 2, 2017
- 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 | 74725 | CA | Primary |
Addresses
Primary practice location
18269 Collier Ave
Lake Elsinore, CA 92530
Mailing address
18269 Collier Ave
Lake Elsinore, CA 92530
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 |
|---|---|---|---|
| 74725 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1144760729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18269 COLLIER AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "92530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18269 COLLIER AVE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "92530",
"telephone_number": "760-670-9463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METWASHLA",
"first_name": "ALFRED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-02",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.