Active NPI
Suzette Alcantara
- Pharmacist
- Encino, CA
National Provider Identifier
1861760894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59369
- Practice address
- 16100 Ventura Blvd
Encino, CA 91436-2502 - Phone
- (818) 788-6951
- NPI assigned
- Dec 5, 2011
- Last updated
- Dec 5, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 59369 | CA | Primary |
Addresses
Primary practice location
16100 Ventura Blvd
Encino, CA 91436-2502
Mailing address
16100 Ventura Blvd
Encino, CA 91436-2502
Phone (818) 788-6951
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59369 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | 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": "1323043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323043200000",
"number": "1861760894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362502",
"telephone_number": "818-788-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 VENTURA BLVD",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362502",
"telephone_number": "818-788-6951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCANTARA",
"first_name": "SUZETTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-05",
"last_updated": "2011-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
- Albar Medical Group
- Albeer Ibrahim MD Inc
- Albeer Ibrahim, M.D. Inc.
- Albert R. Mackenzie, M.D., Inc.
- Jana Albright, MFTI
- Aldad Chiropractic, Inc.
- Eitan Aldad, D.C.
- Stephanie Marie Aldape
- Aleracare Medical Group of California, a Medical Corporation (AleraCare Medical Group of California)
- Alex a Lazar MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.