Ardelle Lucille Libby, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

59761 Issued in CA

Practice address

3160 Wildcat Flat TRL
Cool, CA 95614-2549

Phone

(619) 855-2320

NPI assigned

Sep 11, 2007

Last updated

Sep 11, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ardelle Libby Seely Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1255526372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 WILDCAT FLAT TRL",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956142549",
            "telephone_number": "619-855-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 WILDCAT FLAT TRL",
            "city": "COOL",
            "state": "CA",
            "postal_code": "956142549",
            "telephone_number": "619-855-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBBY",
        "first_name": "ARDELLE",
        "middle_name": "LUCILLE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "59761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARDELLE",
            "last_name": "SEELY",
            "middle_name": "LIBBY",
            "prefix": "DR.",
            "credential": "PHARM.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rikard C Forsberg, DDS
• Cindy Slotterback Gaffney, RN
• James Clayton Kreutz, MPT
• Kara Lese Kreutz, SLP
• Yvonne Lewald
• Franklin Dale Lieberman, PHD
• Pamela Joy Maggiacomo, RPT,LMT
• Beverly Mikuriya, MD
• Thomas Riggio, O.D.
• Samuel Peter Rydell, PHARMD

• Pharmacotherapy Pharmacist in Cool, CA
• Providers in Cool, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.