Andrea Dominic, RPH
Individual provider Active NPI Ambulatory Care Pharmacist · Solvang, CA
NPI 1770181950 · NPPES record last updated Oct 11, 2020
Key facts
- NPI
- 1770181950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ambulatory Care Pharmacist 1835P2201X
- License
- 35942 (CA)
- Practice address
- 1982 Old Mission Dr
Solvang, CA 93463-2304 - Phone
- (805) 691-6139
- NPI assigned
- Oct 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35942 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 35942 | CA | Yes |
Addresses
Primary practice location
1982 Old Mission Dr
Solvang, CA 93463-2304
Mailing address
1982 Old Mission Dr
Solvang, CA 93463-2304
Phone (805) 691-6139
Other providers in Solvang, CA
- Claudia Lorraine Davenport
- David C Seltzer M.D. a Medical Corporation
- Gary Michael Davirro
- Archibald Aviado Dizon
- Margaret Dodson
- Beth Michelle Donati
- Janine Elise Doolan
- Dugan Therapy and Fitness Inc
- Janis B Dugan
- Joseph J Dugan
All providers in Solvang, CA · Ambulatory Care Pharmacist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.