Active NPI
Lindsey Imada
- Pharmacist
- San Marcos, CA
National Provider Identifier
1346984671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75230
- Practice address
- 702 Merit Dr
San Marcos, CA 92078-1404 - Phone
- (310) 612-7040
- NPI assigned
- Apr 22, 2022
- 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 | 183500000X | 75230 | CA | Primary |
Addresses
Primary practice location
702 Merit Dr
San Marcos, CA 92078-1404
Mailing address
702 Merit Dr
San Marcos, CA 92078-1404
Phone (310) 612-7040
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 |
|---|---|---|---|
| 75230 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1346984671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 MERIT DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781404",
"telephone_number": "310-612-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 MERIT DR",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920781404",
"telephone_number": "310-612-7040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMADA",
"first_name": "LINDSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.