Active NPI
Jennifer Quach
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Diego, CA
National Provider Identifier
1285393058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 82281
- Practice address
- 6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121 - Phone
- (866) 701-6565
- NPI assigned
- Dec 9, 2021
- Last updated
- Dec 9, 2021
- Sex
- Female
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 82281 | CA | Primary |
Addresses
Primary practice location
6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121
Mailing address
6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639008000000",
"number": "1285393058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 MIRA MESA BLVD STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 MIRA MESA BLVD STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92121",
"telephone_number": "866-701-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUACH",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "82281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.