Active NPI
Kiesen Bhaga
- Pharmacist
- San Diego, CA
National Provider Identifier
1487969796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH61067
- Practice address
- 1735 Euclid Ave
Rite Aid
San Diego, CA 92105 - Phone
- (619) 264-7211
- NPI assigned
- Aug 11, 2010
- Sex
- Male
- 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 | RPH61067 | CA | Primary |
Addresses
Primary practice location
1735 Euclid Ave
Rite Aid
San Diego, CA 92105
Mailing address
5610 Sirocco LN
Unit 53
San Diego, CA 92120-2743
Phone (619) 255-8923
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH61067 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- San Diego, CA
- NPI 1598874968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1487969796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5610 SIROCCO LN",
"address_2": "UNIT 53",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202743",
"telephone_number": "619-255-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 EUCLID AVE",
"address_2": "RITE AID",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92105",
"telephone_number": "619-264-7211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAGA",
"first_name": "KIESEN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-11",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH61067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.