Active NPI
Christine Ladaga
- Pharmacist
- Surprise, AZ
National Provider Identifier
1386292795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024056
- Practice address
- 15300 N Cotton LN
Surprise, AZ 85388-9613 - Phone
- (623) 584-8558
- NPI assigned
- Aug 28, 2019
- Last updated
- Aug 28, 2019
- 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 | S024056 | AZ | Primary |
Addresses
Primary practice location
15300 N Cotton LN
Surprise, AZ 85388-9613
Mailing address
15955 W Winchcomb Dr
Surprise, AZ 85379-5165
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 |
|---|---|---|---|
| S024056 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| German Dobson CVS LLC | Current | Accepting new patients | |
| German Dobson CVS LLC | Past | Accepting new patients |
Locations
15300 N Cotton Ln
Surprise, AZ 85388
Phone (623) 584-8558
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": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1386292795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15955 W WINCHCOMB DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853795165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15300 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889613",
"telephone_number": "623-584-8558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADAGA",
"first_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.