Individual provider Active NPI

Lilly Linaksita Tjitro, RPH

  • Pharmacist
  • Valley Center, CA
National Provider Identifier
1386577849
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH47833 Issued in CA
Practice address
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone
(760) 749-1410
Fax
(760) 233-5597
NPI assigned
Jun 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH47833 CA Primary

Addresses

Primary practice location

50100 Golsh Rd
Valley Center, CA 92082-5338

Mailing address

PO Box 406
Pauma Valley, CA 92061-0406
Phone (760) 749-1410

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

LicenseStateTypeSpecialty
RPH47833CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1386577849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920610406",
            "telephone_number": "760-749-1410",
            "fax_number": "760-233-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410",
            "fax_number": "760-233-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJITRO",
        "first_name": "LILLY",
        "middle_name": "LINAKSITA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH47833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.