Active NPI
Andrew Jess Morales, PHARM.D.
- Pharmacist
- Bonita, CA
National Provider Identifier
1598934663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45593
- Practice address
- 3955 Bonita Rd
Bonita, CA 91902-1230 - Phone
- (619) 409-6404
- Fax
- (619) 409-6410
- NPI assigned
- Feb 22, 2008
- 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 | 45593 | CA | Primary |
Addresses
Primary practice location
3955 Bonita Rd
Bonita, CA 91902-1230
Mailing address
3955 Bonita Rd
Bonita, CA 91902-1230
Phone (619) 409-6404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45593 | Other | CA | PHARMACIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45593 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1598934663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 BONITA RD",
"city": "BONITA",
"state": "CA",
"postal_code": "919021230",
"telephone_number": "619-409-6404",
"fax_number": "619-409-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 BONITA RD",
"city": "BONITA",
"state": "CA",
"postal_code": "919021230",
"telephone_number": "619-409-6404",
"fax_number": "619-409-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORALES",
"first_name": "ANDREW",
"middle_name": "JESS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-22",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "45593",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.