Active NPI
Alexandra Jo Lopez
- Pharmacist
- Modesto, CA
National Provider Identifier
1417500109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73717
- Practice address
- 2020 W Briggsmore Ave
Modesto, CA 95350-3791 - Phone
- (209) 521-5713
- Fax
- (209) 521-6932
- NPI assigned
- Jul 22, 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 | 73717 | CA | Primary |
Addresses
Primary practice location
2020 W Briggsmore Ave
Modesto, CA 95350-3791
Mailing address
2020 W Briggsmore Ave
Modesto, CA 95350-3791
Phone (209) 521-5713
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 |
|---|---|---|---|
| 73717 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1417500109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 W BRIGGSMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503791",
"telephone_number": "209-521-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 W BRIGGSMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953503791",
"telephone_number": "209-521-5713",
"fax_number": "209-521-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ALEXANDRA",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.