Individual provider Active NPI

Caroline J Salstrom, RPH

  • Pharmacist
  • Camarillo, CA
National Provider Identifier
1689852451
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
43162 Issued in CA
Practice address
900 Avenida Acaso
Suite a
Camarillo, CA 93012-8749
Phone
(805) 388-9336
Fax
(805) 482-6324
NPI assigned
Feb 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-0011659 OR
Pharmacist 183500000X 43162 CA Primary
Pharmacist 183500000X 8721 AZ
Pharmacist 183500000X 015237 KY
Pharmacist 183500000X 0202209798 VA

Addresses

Primary practice location

900 Avenida Acaso
Suite a
Camarillo, CA 93012-8749

Mailing address

900 Avenida Acaso
Suite a
Camarillo, CA 93012-8749
Phone (805) 388-9336

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

LicenseStateTypeSpecialty
8721AZMDPharmacist
015237KYMDPharmacist
RPH-0011659ORMDPharmacist
0202209798VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1689852451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 AVENIDA ACASO",
            "address_2": "SUITE A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128749",
            "telephone_number": "805-388-9336",
            "fax_number": "805-482-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 AVENIDA ACASO",
            "address_2": "SUITE A",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128749",
            "telephone_number": "805-388-9336",
            "fax_number": "805-482-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALSTROM",
        "first_name": "CAROLINE",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0011659",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "43162",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "8721",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "015237",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202209798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.