Active NPI
Klarissa Mae Maluto
- Pharmacist
- Chula Vista, CA
National Provider Identifier
1245889781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH80672
- Practice address
- 1150 Broadway
Chula Vista, CA 91911-2707 - Phone
- (619) 591-4909
- NPI assigned
- Sep 7, 2019
- Last updated
- Feb 18, 2023
- 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 | RPH80672 | CA | Primary |
Addresses
Primary practice location
1150 Broadway
Chula Vista, CA 91911-2707
Mailing address
10921 Waterton Rd
San Diego, CA 92131-3629
Phone (858) 229-0150
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 |
|---|---|---|---|
| RPH80672 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676678400000",
"number": "1245889781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WATERTON RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921313629",
"telephone_number": "858-229-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 BROADWAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112707",
"telephone_number": "619-591-4909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALUTO",
"first_name": "KLARISSA MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-07",
"last_updated": "2023-02-18",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH80672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.