Deepika Agarwal
Individual provider Active NPI Pharmacist · Newark, CA
NPI 1265913404 · NPPES record last updated Aug 26, 2018
Key facts
- NPI
- 1265913404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 78261 (CA)
- Practice address
- 35080 Newark Blvd
Newark, CA 94560-1218 - Phone
- (765) 414-9892
- NPI assigned
- Aug 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 78261 | CA | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 78261 | CA | Yes |
Addresses
Primary practice location
35080 Newark Blvd
Newark, CA 94560-1218
Mailing address
35080 Newark Blvd
Newark, CA 94560-1218
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 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.