Individual provider Active NPI

Patricia Custin

  • Pharmacist
  • Carlsbad, CA
National Provider Identifier
1194198085
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40320 Issued in CA
Practice address
7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Phone
(760) 753-5115
Fax
(760) 753-6406
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40320 CA Primary

Addresses

Primary practice location

7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685

Mailing address

7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Phone (760) 753-5115

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

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1194198085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 RANCHO SANTA FE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098685",
            "telephone_number": "760-753-5115",
            "fax_number": "760-753-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 RANCHO SANTA FE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098685",
            "telephone_number": "760-753-5115",
            "fax_number": "760-753-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSTIN",
        "first_name": "PATRICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "40320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.