Active NPI
Jennifer Kitahara, PHARMD
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1790307882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61255
- Practice address
- 6041 Cadillac Ave
Los Angeles, CA 90034-1700 - Phone
- (323) 857-4403
- NPI assigned
- May 12, 2020
- 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 | 61255 | CA | Primary |
Addresses
Primary practice location
6041 Cadillac Ave
Los Angeles, CA 90034-1700
Mailing address
PO Box 641956
Los Angeles, CA 90064-6956
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1790307882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641956",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900646956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6041 CADILLAC AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900341700",
"telephone_number": "323-857-4403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITAHARA",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-12",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61255",
"primary": true
}
],
"identifiers": [],
"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 May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.