Rui George Dasilva
Individual provider Active NPI Pharmacist · King City, CA
NPI 1255849196 · NPPES record last updated Jan 12, 2018
Key facts
- NPI
- 1255849196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 73856 (CA)
- Practice address
- 540 Canal St
King City, CA 93930-3446 - Phone
- (831) 385-0886
- NPI assigned
- Jan 12, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73856 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73856 | CA | Yes |
Addresses
Primary practice location
540 Canal St
King City, CA 93930-3446
Mailing address
2270 Perez St Apt 202
Salinas, CA 93906-1758
Phone (774) 253-6132
Other providers in King City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.