Active NPI
Axxel Palomares, PHARMD
- Pharmacist
- San Diego, CA
National Provider Identifier
1891458428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85028
- Practice address
- 3222 University Ave
San Diego, CA 92104-2010 - Phone
- (619) 258-8011
- NPI assigned
- Oct 20, 2021
- Last updated
- Dec 24, 2022
- Sex
- Male
- 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 | 85028 | CA | Primary |
Addresses
Primary practice location
3222 University Ave
San Diego, CA 92104-2010
Mailing address
680 Los Cerritos Rd
Glendora, CA 91740-6342
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
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": "1634688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671840000000",
"number": "1891458428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 LOS CERRITOS RD",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917406342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3222 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042010",
"telephone_number": "619-258-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOMARES",
"first_name": "AXXEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-20",
"last_updated": "2022-12-24",
"certification_date": "2022-12-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.