Active NPI
Kristine Jaimee Anne Garcia
- Pharmacist
- Vacaville, CA
National Provider Identifier
1669087169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82161
- Practice address
- 625 Elmira Rd
Vacaville, CA 95687-4655 - Phone
- (707) 451-0285
- NPI assigned
- Sep 10, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 82161 | CA | Primary |
Addresses
Primary practice location
625 Elmira Rd
Vacaville, CA 95687-4655
Mailing address
PO Box 191
West Covina, CA 91793-0191
Phone (213) 241-9937
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1669087169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917930191",
"telephone_number": "213-241-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ELMIRA RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956874655",
"telephone_number": "707-451-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "KRISTINE",
"middle_name": "JAIMEE ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.