Victoria Alexis Dejaco, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

82154 Issued in CA

Practice address

500 Parnassus Ave # J
San Francisco, CA 94143-2203

Phone

(415) 681-3394

NPI assigned

Aug 12, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1356952444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3093 BROADWAY UNIT 424",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115790",
            "telephone_number": "561-251-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE # J",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432203",
            "telephone_number": "415-681-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJACO",
        "first_name": "VICTORIA",
        "middle_name": "ALEXIS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Deiner
• Jessica Deitch, PSYD
• Erik Paul Anton Deiters, LMFT
• Carole E. Deitrich
• Deizero, Inc.
• Jessica Dejarnette, M.D.
• Leighann Denise Dejesse
• Danielle Dekker
• Ellen Beth Dekker, MFT
• Heather Marie Deklotz

• Pharmacist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.