Individual provider Active NPI

Sierra May Kanetake

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1396413415
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH84233 Issued in CA
Practice address
550 Washington St Ste 100
San Diego, CA 92103-2227
Phone
(858) 964-1014
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH84233 CA Primary

Addresses

Primary practice location

550 Washington St Ste 100
San Diego, CA 92103-2227

Mailing address

5055 73Rd St Apt 73
San Diego, CA 92115-1858
Phone (408) 656-6739

Other practice location 1

4060 4th Ave Ste 110
San Diego, CA 92103-2120
Phone (858) 964-1013

Other practice location 2

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (858) 964-1011

Other practice location 3

310 Santa Fe Dr Ste 109
Encinitas, CA 92024-5124
Phone (858) 964-1012

Other identifiers 1

IdentifierTypeStateIssuer
RPH84233OtherCAREGISTERED PHARMACIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kanetake.sierra@scrippshealth.org Direct Scripps Health

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
RPH84233CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1396413415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 73RD ST APT 73",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921151858",
            "telephone_number": "408-656-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WASHINGTON ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032227",
            "telephone_number": "858-964-1014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4060 4th Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921032120",
            "country_code": "US",
            "telephone_number": "858-964-1013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10710 N Torrey Pines Rd",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371035",
            "country_code": "US",
            "telephone_number": "858-964-1011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Santa Fe Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245124",
            "country_code": "US",
            "telephone_number": "858-964-1012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANETAKE",
        "first_name": "SIERRA",
        "middle_name": "MAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH84233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENSE",
            "identifier": "RPH84233",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kanetake.sierra@scrippshealth.org",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "Scripps Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "550 Washington St Ste 100",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921032227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 2, 2021; 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.