Individual provider Active NPI

Caroline Small

  • Pharmacist
  • Loma Linda, CA
National Provider Identifier
1477941250
Registry record updated Jan 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
71831 Issued in CA
Practice address
24745 Stewart St
Shryock Hall Room 234
Loma Linda, CA 92350-1719
Phone
(909) 558-7607
NPI assigned
Jan 2, 2015
Last updated
Jan 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 71831 CA Primary
Pharmacist 183500000X RP00008161 NM

Addresses

Primary practice location

24745 Stewart St
Shryock Hall Room 234
Loma Linda, CA 92350-1719

Mailing address

24745 Stewart St
Shryock Hall Room 234
Loma Linda, CA 92350-1719

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

LicenseStateTypeSpecialty
71831CAMDPharmacist
RP00008161NMMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1477941250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24745 STEWART ST",
            "address_2": "SHRYOCK HALL ROOM 234",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24745 STEWART ST",
            "address_2": "SHRYOCK HALL ROOM 234",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923501719",
            "telephone_number": "909-558-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71831",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00008161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.