Active NPI
Maria Daksla
- Pharmacist
- Merced, CA
National Provider Identifier
1760860217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48615
- Practice address
- 1158 W Main St
Merced, CA 95340-4523 - Phone
- (209) 383-2404
- NPI assigned
- May 15, 2015
- Last updated
- May 15, 2015
- 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 | 48615 | CA | Primary |
Addresses
Primary practice location
1158 W Main St
Merced, CA 95340-4523
Mailing address
3308 Princeville CT
Modesto, CA 95355-9651
Phone (772) 607-1582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY425660 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48615 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 06833
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1760860217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3308 PRINCEVILLE CT",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559651",
"telephone_number": "772-607-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1158 W MAIN ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953404523",
"telephone_number": "209-383-2404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKSLA",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "48615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHY425660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.