Robert Denis Quinn, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH32154 Issued in CA

Practice address

181 Tank Farm Road Ste. 120
San Luis Obispo, CA 93401

Phone

(805) 542-0864

Fax

(805) 542-0867

NPI assigned

Aug 11, 2015

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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.

• Kohana Pharmacy and Center for Regenerative Medicine Inc

  • Community/Retail Pharmacy
  • San Luis Obispo, CA
  • NPI 1982927323
  NPD (past) Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1427434638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 TANK FARM ROAD STE. 120",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-542-0864",
            "fax_number": "805-542-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TANK FARM ROAD STE. 120",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-542-0864",
            "fax_number": "805-542-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "ROBERT",
        "middle_name": "DENIS",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH32154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Quen, PHARM.D.
• Linda Louise Quesenberry
• Rosie Quezada
• Rachel C Quigley, MA, LMFT
• Ami Grace Quinn, MSW, L.C.S. W., PPS
• Theresa M Quinn, PH.D.
• Adilene Quintana-Reyes
• Thomas A Quintana
• Kalee Quintanar
• Anthony Quintilliani

• Pharmacist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.