Individual provider Active NPI

Jennie Kittipha, PHARMD

  • Oncology Pharmacist
  • Beverly Hills, CA
National Provider Identifier
1518528587
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
68098 Issued in CA
Practice address
9090 Wilshire Blvd # 250
Beverly Hills, CA 90211-1848
Phone
(310) 967-7602
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X 68098 CA Primary

Addresses

Primary practice location

9090 Wilshire Blvd # 250
Beverly Hills, CA 90211-1848

Mailing address

9090 Wilshire Blvd # 250
Beverly Hills, CA 90211-1848

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennie.kittipha@cshs.org

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
68098CAMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1518528587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD # 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9090 WILSHIRE BLVD # 250",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111848",
            "telephone_number": "310-967-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTIPHA",
        "first_name": "JENNIE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "68098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennie.kittipha@cshs.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "9090 Wilshire Blvd # 250",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902111848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.