Andrea D Nishimoto-Macedo

Primary specialty

PharmacistTaxonomy code 183500000X

License

9072263-1701 Issued in UT

Practice address

8243 Westmore Rd
San Diego, CA 92126-2218

Phone

(417) 818-3883

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1750999371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 WESTMORE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8243 WESTMORE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262218",
            "telephone_number": "417-818-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIMOTO-MACEDO",
        "first_name": "ANDREA",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "9072263-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Tsuyoshi Ninokawa, MD
• Nippon Clinic and Noguchi Ningen Dock LLC
• Ajay Nirula, MD
• Bree E Nishibun, DPT
• Celeste Nishijima
• Marin Nishimura-Kaminski
• Allyssa Nisperos
• Mary Joy Cava Nisperos, N.P.
• Beti Nissan, MD
• David Asher Nissan, MD

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.