Supannee Sandra Lertpaichaiyon, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

79547 Issued in CA

Practice address

32627 Presidio Hills LN
Winchester, CA 92596-8434

Phone

(310) 945-6398

NPI assigned

Mar 23, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1194351023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32627 PRESIDIO HILLS LN",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32627 PRESIDIO HILLS LN",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968434",
            "telephone_number": "310-945-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTPAICHAIYON",
        "first_name": "SUPANNEE",
        "middle_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "slertpai",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32627 Presidio Hills Ln",
            "city": "Winchester",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925968434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Andrea Kurtz, LVN
• Michelle Louise Launi, RN, IBCLC
• Keralynn W Ledbetter
• Margarita Irene Leguizamon, MA, AMFT
• Vanessa Lerma Jones, LVN
• Bethany Lowery, APCC
• Kara Mae Bolivar Lozada
• Matthew Lutz
• Stephanie Lynn
• Eunice Mueni-George Makau, RN

• Pharmacist in Winchester, CA
• Providers in Winchester, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.