Active NPI
Arquimedes Jose Betancourt, PHARMACIST
- Pharmacist
- Canyon Country, CA
National Provider Identifier
1265714604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45652
- Practice address
- 19266 Soledad Cyn
Canyon Country, CA 91351-3366 - Phone
- (661) 251-9433
- NPI assigned
- Sep 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 45652 | CA | Primary |
Addresses
Primary practice location
19266 Soledad Cyn
Canyon Country, CA 91351-3366
Mailing address
14725 Sundance PL
Canyon Country, CA 91387-1542
Phone (661) 424-0526
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 |
|---|---|---|---|
| 45652 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
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- Santa Clarita, CA
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-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1265714604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14725 SUNDANCE PL",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913871542",
"telephone_number": "661-424-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19266 SOLEDAD CYN",
"city": "CANYON COUNTRY",
"state": "CA",
"postal_code": "913513366",
"telephone_number": "661-251-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETANCOURT",
"first_name": "ARQUIMEDES",
"middle_name": "JOSE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canyon Country, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.