Edmund Lestari, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

82368 Issued in CA

Practice address

210 W. San Bernardino Rd
Covina, CA 91723

Phone

(626) 915-6272

NPI assigned

Jul 20, 2020

Reactivated

Oct 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Your Drug Store Inc

  • Long Term Care Pharmacy
  • Bakersfield, CA
  • NPI 1316768641
  NPD
• SPRX, Inc.

  • Community/Retail Pharmacy
  • Bakersfield, CA
  • NPI 1912397936
  NPD (past)
• Your Drug Store Inc

  • Community/Retail Pharmacy
  • Bakersfield, CA
  • NPI 1306998653
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1851909592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W. SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W. SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-915-6272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 Niles Pt",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933064025",
            "country_code": "US",
            "telephone_number": "661-325-2487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 White Ln Ste N",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933098776",
            "country_code": "US",
            "telephone_number": "661-282-8805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESTARI",
        "first_name": "EDMUND",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-10-11",
        "certification_date": "2023-08-05",
        "deactivation_date": "2023-08-05",
        "reactivation_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maineli Leos
• Aredith Lepe
• Charlene Lepe
• Aidan Lepper
• Cheyenne Lesko
• Christina Darlene Leung, O.D.
• Jonathan K Leung, MD
• Zachary Robert Levin
• Jack Sanford Levine, PH.D.
• Debra Levray

• Pharmacist in Covina, CA
• Providers in Covina, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.