Active NPI
John Carlson, PHARMACIST
- Pharmacotherapy Pharmacist
- Chula Vista, CA
National Provider Identifier
1770985129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 42140
- Practice address
- 1150 Broadway
Chula Vista, CA 91911-2707 - Phone
- (619) 591-4909
- Fax
- (619) 591-4913
- NPI assigned
- Sep 17, 2014
- 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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 42140 | CA | Primary |
Addresses
Primary practice location
1150 Broadway
Chula Vista, CA 91911-2707
Mailing address
1150 Broadway
Chula Vista, CA 91911-2707
Phone (619) 591-4909
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": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1770985129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 BROADWAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112707",
"telephone_number": "619-591-4909",
"fax_number": "619-591-4913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 BROADWAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919112707",
"telephone_number": "619-591-4909",
"fax_number": "619-591-4913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "JOHN",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "42140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.