Active NPI
Misty Dawn Taphorn, PHARMACIST
- Pharmacist
- Ventura, CA
National Provider Identifier
1639327703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62149
- Practice address
- 10790 Sunflower St
Ventura, CA 93004-4811 - Phone
- (805) 656-5821
- NPI assigned
- Sep 3, 2008
- Last updated
- May 9, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2006026100 | MO | |
| Pharmacist | 183500000X | 11720 | SC | |
| Pharmacist | 183500000X | 62149 | CA | Primary |
Addresses
Primary practice location
10790 Sunflower St
Ventura, CA 93004-4811
Mailing address
10790 Sunflower St
Ventura, CA 93004-4811
Phone (805) 656-5821
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 |
|---|---|---|---|
| 11720 | SC | MD | Professional Counselor |
| 62149 | CA | MD | Pharmacist |
| 2006026100 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1639327703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 SUNFLOWER ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930044811",
"telephone_number": "805-656-5821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10790 SUNFLOWER ST",
"city": "VENTURA",
"state": "CA",
"postal_code": "930044811",
"telephone_number": "805-656-5821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAPHORN",
"first_name": "MISTY",
"middle_name": "DAWN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2006026100",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11720",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.