Active NPI
Pepito De Vera Dulatre, RPH
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1780093138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH70443
- Practice address
- 248 S Hobart Blvd
Los Angeles, CA 90004-5208 - Phone
- (805) 824-2199
- NPI assigned
- Aug 11, 2014
- Sex
- Male
- 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 | RPH70443 | CA | Primary |
Addresses
Primary practice location
248 S Hobart Blvd
Los Angeles, CA 90004-5208
Mailing address
248 S Hobart Blvd
Los Angeles, CA 90004-5208
Phone (805) 824-2199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH70443 | Other | CA | CALIFORNIA REGISTERED PHARMACIST |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH70443 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407715200000",
"number": "1780093138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 S HOBART BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900045208",
"telephone_number": "805-824-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 S HOBART BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900045208",
"telephone_number": "805-824-2199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULATRE",
"first_name": "PEPITO",
"middle_name": "DE VERA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-11",
"last_updated": "2014-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH70443",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA REGISTERED PHARMACIST",
"identifier": "RPH70443",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.