Individual provider Active NPI

Bruce Osachy, PHARM.D.

  • Pharmacist
  • San Diego, CA
National Provider Identifier
1790178788
Registry record updated Mar 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH45628 Issued in CA
Practice address
10652 Dabney Dr Apt 138
San Diego, CA 92126-7621
Phone
(818) 428-8815
NPI assigned
Mar 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH45628 CA Primary
Pharmacist 183500000X 11847 NV

Addresses

Primary practice location

10652 Dabney Dr Apt 138
San Diego, CA 92126-7621

Mailing address

10652 Dabney Dr Apt 138
San Diego, CA 92126-7621
Phone (818) 428-8815

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH45628CAMDPharmacist
11847NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1426377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426377600000",
    "number": "1790178788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10652 DABNEY DR APT 138",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267621",
            "telephone_number": "818-428-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 DABNEY DR APT 138",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921267621",
            "telephone_number": "818-428-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSACHY",
        "first_name": "BRUCE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-15",
        "last_updated": "2015-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH45628",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "11847",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

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

Verify at the official NPI Registry.