Matthew Timothy Angquico

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

178781 Issued in CA

Practice address

9532 Winter Gardens Blvd
Lakeside, CA 92040-4032

Phone

(619) 390-7342

NPI assigned

Nov 26, 2021

Last updated

Nov 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Thrifty Payless Inc

  dba Rite Aid Pharmacy 05632

  • Community/Retail Pharmacy
  • Lakeside, CA
  • NPI 1104935550
  NPD (past)
• Thrifty Payless Inc

  dba Rite Aid Pharmacy 06833

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1637884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1508523416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 AURORA DR SPC 46",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920211813",
            "telephone_number": "619-633-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9532 WINTER GARDENS BLVD",
            "city": "LAKESIDE",
            "state": "CA",
            "postal_code": "920404032",
            "telephone_number": "619-390-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGQUICO",
        "first_name": "MATTHEW",
        "middle_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-26",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "178781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Stransky Family Counseling Services Inc.
• Meiqi An, RN
• Jennifer Mary Ann Anderson, M.S., CCC-SLP
• Steven R Anderson Sr.
• Victor Josue Andrade, PHARM.D.
• Archana Corporation (Leo's Lakeside Pharmacy-LTC)
• Archana Corporation (Leo's Lakeside Pharmacy)
• Ginger Lea Armstrong, DONA # 14215
• Arthur Santos DDS Corp
• Cesar Ayala, DDS

• Pharmacy Technician in Lakeside, CA
• Providers in Lakeside, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.