Active NPI
Connie Lac
- Pharmacist
- Trabuco Canyon, CA
National Provider Identifier
1699201699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66247
- Practice address
- 21572 Plano Trabuco Rd
Trabuco Canyon, CA 92679-3465 - Phone
- (949) 589-3792
- Fax
- (949) 589-2705
- NPI assigned
- May 11, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66247 | CA | Primary |
Addresses
Primary practice location
21572 Plano Trabuco Rd
Trabuco Canyon, CA 92679-3465
Mailing address
46 Talisman
Irvine, CA 92620-3843
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1699201699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 TALISMAN",
"city": "IRVINE",
"state": "CA",
"postal_code": "926203843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21572 PLANO TRABUCO RD",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926793465",
"telephone_number": "949-589-3792",
"fax_number": "949-589-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAC",
"first_name": "CONNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trabuco Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.