Individual provider Active NPI

Doug Humber, PHARM.D.

  • Critical Care Pharmacist
  • La Jolla, CA
National Provider Identifier
1689212706
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care PharmacistTaxonomy code 1835C0205X
License
48930 Issued in CA
Practice address
9500 Gilman Drive, #0657
Ivy Trailer Room 103
La Jolla, CA 92093-0657
Phone
(858) 534-8777
NPI assigned
Dec 19, 2019
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pharmacist 1835C0205X 48930 CA Primary

Addresses

Primary practice location

9500 Gilman Drive, #0657
Ivy Trailer Room 103
La Jolla, CA 92093-0657

Mailing address

9500 Gilman Drive, #0657
Ivy Trailer Room 103
La Jolla, CA 92093-0657
Phone (858) 534-8777

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
48930CAMDCritical Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1689212706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE, #0657",
            "address_2": "IVY TRAILER ROOM 103",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930657",
            "telephone_number": "858-534-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE, #0657",
            "address_2": "IVY TRAILER ROOM 103",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930657",
            "telephone_number": "858-534-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBER",
        "first_name": "DOUG",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0205X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Critical Care",
            "state": "CA",
            "license": "48930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.