Active NPI
Mona Abdollahi Lakelayeh, RPH
- Pharmacist
- La Jolla, CA
National Provider Identifier
1821445313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74344
- Practice address
- 8657 Villa la Jolla Dr
La Jolla, CA 92037-2356 - Phone
- (858) 597-0108
- NPI assigned
- May 16, 2016
- Last updated
- May 16, 2016
- 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 | 74344 | CA | Primary |
Addresses
Primary practice location
8657 Villa la Jolla Dr
La Jolla, CA 92037-2356
Mailing address
3899 Nobel Dr Apt 1210
San Diego, CA 92122-5764
Phone (949) 354-7914
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 |
|---|---|---|---|
| 74344 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1821445313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3899 NOBEL DR APT 1210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225764",
"telephone_number": "949-354-7914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8657 VILLA LA JOLLA DR",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920372356",
"telephone_number": "858-597-0108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDOLLAHI LAKELAYEH",
"first_name": "MONA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "74344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.