Active NPI
Miaoqi Jin, RPH
- Pharmacist
- Spring Valley, CA
National Provider Identifier
1487029146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73028
- Practice address
- 543 Sweetwater Rd
Spring Valley, CA 91977-5627 - Phone
- (619) 461-2100
- NPI assigned
- Dec 7, 2015
- Last updated
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 73028 | CA | Primary |
Addresses
Primary practice location
543 Sweetwater Rd
Spring Valley, CA 91977-5627
Mailing address
543 Sweetwater Rd
Spring Valley, CA 91977-5627
Phone (619) 461-2100
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73028 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568764800000",
"number": "1487029146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 SWEETWATER RD",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919775627",
"telephone_number": "619-461-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 SWEETWATER RD",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919775627",
"telephone_number": "619-461-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIN",
"first_name": "MIAOQI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2019-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.