Individual provider Active NPI

Andreea Garcia Craivanu, RPH

  • Pharmacist
  • San Marcos, CA
National Provider Identifier
1154912343
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH84070 Issued in CA
Practice address
727 W San Marcos Blvd Ste 113
San Marcos, CA 92078-1244
Phone
(760) 744-5959
NPI assigned
Jan 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH84070 CA Primary

Addresses

Primary practice location

727 W San Marcos Blvd Ste 113
San Marcos, CA 92078-1244

Mailing address

727 W San Marcos Blvd Ste 113
San Marcos, CA 92078-1244
Phone (760) 744-5959

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

LicenseStateTypeSpecialty
RPH84070CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
QC Pharmacy Corp CurrentSince Mar 1, 2021 Accepting new patients
QC Pharmacy Corp PastSince Jan 31, 2021 Accepting new patients

Locations

727 W San Marcos Blvd
Ste 113
San Marcos, CA 92078
Phone (760) 744-5959

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1154912343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 W SAN MARCOS BLVD STE 113",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781244",
            "telephone_number": "760-744-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 W SAN MARCOS BLVD STE 113",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920781244",
            "telephone_number": "760-744-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA CRAIVANU",
        "first_name": "ANDREEA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH84070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.