Active NPI
Candace Rae Russo, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1881151942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79660
- Practice address
- 8915 Towne Centre Dr
San Diego, CA 92122-5650 - Phone
- (858) 550-9066
- NPI assigned
- Feb 25, 2019
- Last updated
- Apr 26, 2025
- 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 | 79660 | CA | Primary |
Addresses
Primary practice location
8915 Towne Centre Dr
San Diego, CA 92122-5650
Mailing address
701 W Beech St Ste 503
San Diego, CA 92101-2669
Phone (979) 567-1177
Other names 1
- Candace Rae Stifflemire
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
| License | State | Type | Specialty |
|---|---|---|---|
| 79660 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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": "1551052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745625600000",
"number": "1881151942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W BEECH ST STE 503",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012669",
"telephone_number": "979-567-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8915 TOWNE CENTRE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225650",
"telephone_number": "858-550-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "CANDACE",
"middle_name": "RAE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-25",
"last_updated": "2025-04-26",
"certification_date": "2025-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "STIFFLEMIRE",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}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 Apr 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.