Active NPI
Percis Dagondon Esmade
- Pharmacist
- Inglewood, CA
National Provider Identifier
1548619992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 47630
- Practice address
- 222 N Market St
Inglewood, CA 90301-1217 - Phone
- (310) 671-0441
- NPI assigned
- Jun 7, 2016
- 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 | RPH 47630 | CA | Primary |
Addresses
Primary practice location
222 N Market St
Inglewood, CA 90301-1217
Mailing address
222 N Market St
Inglewood, CA 90301-1217
Phone (310) 671-0441
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 |
|---|---|---|---|
| RPH 47630 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465257600000",
"number": "1548619992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 N MARKET ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011217",
"telephone_number": "310-671-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MARKET ST",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903011217",
"telephone_number": "310-671-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESMADE",
"first_name": "PERCIS",
"middle_name": "DAGONDON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 47630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.