Individual provider Active NPI

Lisa Pinski, PHARM. D.

  • Pharmacist
  • El Dorado Hills, CA
National Provider Identifier
1639580905
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 46104 Issued in CA
Practice address
3935 Park Dr
El Dorado Hills, CA 95762-4579
Phone
(916) 933-0215
NPI assigned
May 8, 2014
Last updated
May 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 46104 CA Primary
Pharmacist 183500000X PH 00018877 WA

Addresses

Primary practice location

3935 Park Dr
El Dorado Hills, CA 95762-4579

Mailing address

3651 Mira Loma Dr
Cameron Park, CA 95682-7678
Phone (530) 672-8397

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
RPH 46104CAMDPharmacist
PH 00018877WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1639580905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 MIRA LOMA DR",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827678",
            "telephone_number": "530-672-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 PARK DR",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957624579",
            "telephone_number": "916-933-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINSKI",
        "first_name": "LISA",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 46104",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH 00018877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.