Active NPI
Timothy Daniel McCarthy, PHARM.D.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- San Rafael, CA
National Provider Identifier
1720224561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 40364
- Practice address
- 1600 Los Gamos Dr
#275
San Rafael, CA 94903-1806 - Phone
- (415) 492-6500
- NPI assigned
- Dec 29, 2008
- Sex
- Male
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 40364 | CA | Primary |
Addresses
Primary practice location
1600 Los Gamos Dr
#275
San Rafael, CA 94903-1806
Mailing address
416 Norfolk Dr
#5
Pacifica, CA 94044-2048
Phone (916) 955-6055
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1720224561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 NORFOLK DR",
"address_2": "#5",
"city": "PACIFICA",
"state": "CA",
"postal_code": "940442048",
"telephone_number": "916-955-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 LOS GAMOS DR",
"address_2": "#275",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031806",
"telephone_number": "415-492-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "TIMOTHY",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "40364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.