Kandida De la Cruz Madery, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

59493 Issued in CA

Practice address

5125 Skyway
Suite F
Paradise, CA 95969-5624

Phone

(530) 680-0308

NPI assigned

Apr 3, 2008

Last updated

Jan 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kandida Lenz De la Cruz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1366615080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "DURHAM",
            "state": "CA",
            "postal_code": "959380069",
            "telephone_number": "530-680-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 SKYWAY",
            "address_2": "SUITE F",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959695624",
            "telephone_number": "530-680-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADERY",
        "first_name": "KANDIDA",
        "middle_name": "DE LA CRUZ",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-03",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "59493",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDIDA",
            "last_name": "DE LA CRUZ",
            "middle_name": "LENZ",
            "prefix": "MISS",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Lopez
• Natalie Lovinfosse, LCSW
• Kenny Duane Lunsford, CADCII,ICADC
• David Ly
• Brent Calvin Mackay, DDS
• Anne Elizabeth Magnuson, M.S., R.D.
• Barbra Quimpo Maguire, PMHNP
• Michael Eugene Maguire, PH.D
• Sirisha Mahankali, M.D.
• Susan L Mallory, M.D.

• Pharmacist in Paradise, CA
• Providers in Paradise, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.