Active NPI
Patrick Lewis Deak
- Pharmacist
- Lodi, CA
National Provider Identifier
1164892600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72925
- Practice address
- 2516 Potomac Way
Lodi, CA 95242-4770 - Phone
- (167) 937-3099
- NPI assigned
- Sep 27, 2015
- 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 | 72925 | CA | Primary |
Addresses
Primary practice location
2516 Potomac Way
Lodi, CA 95242-4770
Mailing address
2516 Potomac Way
Lodi, CA 95242-4770
Phone (916) 525-4920
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 72925 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1164892600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 POTOMAC WAY",
"city": "LODI",
"state": "CA",
"postal_code": "952424770",
"telephone_number": "916-525-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 POTOMAC WAY",
"city": "LODI",
"state": "CA",
"postal_code": "952424770",
"telephone_number": "167-937-3099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAK",
"first_name": "PATRICK",
"middle_name": "LEWIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-27",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72925",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2516 Potomac Way",
"city": "Lodi",
"state": "CA",
"country_code": "US",
"postal_code": "952424770",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lodi, CA
- Elizabeth Catherine Davis, FNP
- Valerie Ann Davis, LCSW
- Daw, LLC
- Melvin Pilapil De la Cruz, M.D.
- Arturo Nicolas De Leon, FNP-C
- Dedicated Non Medical Transport, LLC
- Deepblue Healthcare, LLC
- Deergrass Healthcare, Inc. (Fairmont Rehabilitation Hospital)
- Angelica Del Castillo, ASW
- Maxine Louise Del Paine, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.