Active NPI
Deanna Celina Lopez, PHARMD
- Pharmacist
- Grover Beach, CA
National Provider Identifier
1417587304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81606
- Practice address
- 1758 W Grand Ave
Grover Beach, CA 93433-2293 - Phone
- (805) 481-0877
- NPI assigned
- Jan 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 81606 | CA | Primary |
Addresses
Primary practice location
1758 W Grand Ave
Grover Beach, CA 93433-2293
Mailing address
1174 Fair Oaks Ave Apt 38
Arroyo Grande, CA 93420-3853
Phone (559) 974-4871
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81606 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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": "1579564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1417587304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 FAIR OAKS AVE APT 38",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934203853",
"telephone_number": "559-974-4871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1758 W GRAND AVE",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332293",
"telephone_number": "805-481-0877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DEANNA",
"middle_name": "CELINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-21",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grover Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.