Active NPI
Jeffrey Maeda, PHARMD.
- Pharmacist
- Orange, CA
National Provider Identifier
1154419695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50492
- Practice address
- 200 North Lewis Street
Orange, CA 92868 - Phone
- (714) 748-6156
- NPI assigned
- Oct 10, 2006
- 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 | 50492 | CA | Primary |
Addresses
Primary practice location
200 North Lewis Street
Orange, CA 92868
Mailing address
200 North Lewis Street
Orange, CA 92868
Phone (714) 748-6155
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50492 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154419695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 NORTH LEWIS STREET",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-748-6155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NORTH LEWIS STREET",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-748-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAEDA",
"first_name": "JEFFREY",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "50492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.