Active NPI
Kathleen Carvalho-Bacalan, PHARM D
- Pharmacist
- Rolling Hills, CA
National Provider Identifier
1457890972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60919
- Practice address
- 88 Crest Rd E
Rolling Hills, CA 90274-5266 - Phone
- (808) 551-2254
- NPI assigned
- Feb 16, 2017
- Last updated
- Feb 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60919 | CA | Primary |
| Pharmacist | 183500000X | 2014 | HI |
Addresses
Primary practice location
88 Crest Rd E
Rolling Hills, CA 90274-5266
Mailing address
88 Crest Rd E
Rolling Hills, CA 90274-5266
Phone (808) 551-2254
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 |
|---|---|---|---|
| 60919 | CA | MD | Pharmacist |
| 2014 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1457890972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CREST RD E",
"city": "ROLLING HILLS",
"state": "CA",
"postal_code": "902745266",
"telephone_number": "808-551-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 CREST RD E",
"city": "ROLLING HILLS",
"state": "CA",
"postal_code": "902745266",
"telephone_number": "808-551-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARVALHO-BACALAN",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-16",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60919",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "2014",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.