Active NPI
Randal Ross, PHARMD
- Pharmacist
- La Jolla, CA
National Provider Identifier
1295452001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 50508
- Practice address
- 7650 Girard Ave
La Jolla, CA 92037-4447 - Phone
- (619) 920-2657
- NPI assigned
- Oct 21, 2022
- 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 | 50508 | CA | Primary |
Addresses
Primary practice location
7650 Girard Ave
La Jolla, CA 92037-4447
Mailing address
21921 Long Trot Dr
Escondido, CA 92029-5936
Phone (619) 920-2657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | none |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50508 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666310400000",
"number": "1295452001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21921 LONG TROT DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920295936",
"telephone_number": "619-920-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7650 GIRARD AVE",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374447",
"telephone_number": "619-920-2657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RANDAL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-21",
"last_updated": "2022-10-21",
"certification_date": "2022-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "50508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NONE",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "none",
"affiliation": "N",
"address_1": "7650 Girard Ave",
"city": "LA Jolla",
"state": "CA",
"country_code": "US",
"postal_code": "920374447",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.