Individual provider Active NPI

Niccolo McWin Madrigal Carabbacan

  • Pharmacist
  • Carlsbad, CA
National Provider Identifier
1376144014
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
83591 Issued in CA
Practice address
7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685
Phone
(760) 753-5115
NPI assigned
Nov 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 83591 CA Primary

Addresses

Primary practice location

7740 Rancho Santa Fe Rd
Carlsbad, CA 92009-8685

Mailing address

3211 Ashford St
San Diego, CA 92111-5010
Phone (619) 791-9470

Other practice location 1

9225 Twin Trails Dr
San Diego, CA 92129-2692
Phone (858) 538-8770

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

LicenseStateTypeSpecialty
83591CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1376144014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 ASHFORD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115010",
            "telephone_number": "619-791-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 RANCHO SANTA FE RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098685",
            "telephone_number": "760-753-5115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 Twin Trails Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921292692",
            "country_code": "US",
            "telephone_number": "858-538-8770",
            "fax_number": "858-538-9751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARABBACAN",
        "first_name": "NICCOLO MCWIN",
        "middle_name": "MADRIGAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-07",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.