Ivy Kamille Pineda Dino

Primary specialty

PharmacistTaxonomy code 183500000X

License

82586 Issued in CA

Practice address

12101 Central Ave
Chino, CA 91710-2421

Phone

(909) 591-3911

NPI assigned

Sep 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Chino, CA
  • NPI 1376587642
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1417628181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 E SAINT ANDREWS ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917616761",
            "telephone_number": "909-740-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102421",
            "telephone_number": "909-591-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINO",
        "first_name": "IVY KAMILLE",
        "middle_name": "PINEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-03-07",
        "certification_date": "2022-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lee DDS, Inc.
• Jose J Diaz, M.D.
• Farid Didari
• Kristi Jo Diehl, PA-C
• Melissa Dinh
• Jaina R DO, DPT
• Julie DO, FNP-C
• Lan DO
• Nancy DO, MA
• Steve D DO

• Pharmacist in Chino, CA
• Providers in Chino, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.