Active NPI
Sharon J Seraphin, R.PH
- Pharmacist
- Indio, CA
National Provider Identifier
1679855639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41540
- Practice address
- 80588 Camino San Lucas
Indio, CA 92203-7451 - Phone
- (760) 834-8144
- NPI assigned
- Sep 15, 2011
- Last updated
- Sep 15, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41540 | CA | Primary |
| Pharmacist | 183500000X | 8642 | AZ |
Addresses
Primary practice location
80588 Camino San Lucas
Indio, CA 92203-7451
Mailing address
80588 Camino San Lucas
Indio, CA 92203-7451
Phone (760) 834-8144
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41540 | CA | MD | Marriage & Family Therapist |
| 8642 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1679855639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80588 CAMINO SAN LUCAS",
"city": "INDIO",
"state": "CA",
"postal_code": "922037451",
"telephone_number": "760-834-8144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80588 CAMINO SAN LUCAS",
"city": "INDIO",
"state": "CA",
"postal_code": "922037451",
"telephone_number": "760-834-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERAPHIN",
"first_name": "SHARON",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41540",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "8642",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.