Active NPI
Arunsri Machandaeng, RPH
- Pharmacist
- San Diego, CA
National Provider Identifier
1356993513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH80628
- Practice address
- 602 Euclid Ave
San Diego, CA 92114-2207 - Phone
- (619) 321-1614
- NPI assigned
- Jul 9, 2019
- Last updated
- Jul 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 | RPH80628 | CA | Primary |
Addresses
Primary practice location
602 Euclid Ave
San Diego, CA 92114-2207
Mailing address
14300 Terra Bella St Unit 96
Panorama City, CA 91402-6756
Phone (818) 429-9624
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH80628 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1356993513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14300 TERRA BELLA ST UNIT 96",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914026756",
"telephone_number": "818-429-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 EUCLID AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921142207",
"telephone_number": "619-321-1614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACHANDAENG",
"first_name": "ARUNSRI",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH80628",
"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 Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.