Active NPI
Rosalynn Laotheerachao, PHARM.D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1174829022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55077
- Practice address
- 1500 San Pablo St
Los Angeles, CA 90033-5313 - Phone
- (626) 347-1314
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- 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 | 55077 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St
Los Angeles, CA 90033-5313
Mailing address
PO Box 4335
West Covina, CA 91791-0335
Phone (626) 347-1314
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 |
|---|---|---|---|
| 55077 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1174829022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4335",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917910335",
"telephone_number": "626-347-1314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "626-347-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAOTHEERACHAO",
"first_name": "ROSALYNN",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.