Active NPI
Katie Lynne Jeko
- Pharmacist
- Rancho Santa Margarita, CA
National Provider Identifier
1487110193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79882
- Practice address
- 22361 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2809 - Phone
- (949) 888-3050
- NPI assigned
- Feb 18, 2019
- Last updated
- Feb 18, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79882 | CA | Primary |
Addresses
Primary practice location
22361 Antonio Pkwy
Rancho Santa Margarita, CA 92688-2809
Mailing address
330 Angeles St
Oceanside, CA 92058-8255
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | 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": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1487110193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 ANGELES ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920588255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22361 ANTONIO PKWY",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882809",
"telephone_number": "949-888-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEKO",
"first_name": "KATIE",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-18",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Santa Margarita, CA
- James T Wang MD Inc
- Natalie James, LAC
- Jamie H. Tran, DMD, MSD, Inc.
- Jeanne Nguyen, DDS, Inc. (Santa Margarita Pediatric Dentistry)
- Jeff Wong, DDS, Inc (Rancho Orthodontics)
- George Anthony Jelaco
- Alfredo Jimenez
- JL Mobile Phlebotomy LLC (JenniferLujan)
- Christina Marie Johnson, SLP
- David A Johnson, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.