Christine Dierickxgomez, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

51862 Issued in CA

Practice address

1570 Rosecrans Ave
Manhattan Beach, CA 90266-3718

Phone

(310) 536-9255

Fax

(310) 643-0089

NPI assigned

Nov 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Longs Drug Stores California LLC

  • Community/Retail Pharmacy
  • Manhattan Beach, CA
  • NPI 1982646717
  NPD (past)
• Longs Drug Store California LLC

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446508800000",
    "number": "1184097867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 ROSECRANS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663718",
            "telephone_number": "310-536-9255",
            "fax_number": "310-643-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 ROSECRANS AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663718",
            "telephone_number": "310-536-9255",
            "fax_number": "310-643-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERICKXGOMEZ",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Desai, M.D
• Judy Jacobs Deutsch, MFT
• Sonia Dhairyawan-Carvalho, MD
• Diadra Smith Licensed Clinical Social Worker Inc
• Patrick Brian Dickey
• Joseph Trammell Dixon, MD
• Michelle Jillian Dolinsky
• Dominique and Donna Scott Chiropractic, Inc.
• Don Mungcal, D.D.S., Inc.
• Don Ramos Mungcal DDS a Professional Corporation

• Pharmacist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.