Charles Francis Lustick, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

15168 Issued in LA

Practice address

10535 Hospital Way
Mather, CA 95655-4200

Phone

(866) 600-8279

Fax

(866) 600-5321

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942213905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 FIG RD",
            "city": "WILTON",
            "state": "CA",
            "postal_code": "956939674",
            "telephone_number": "916-687-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "866-600-8279",
            "fax_number": "866-600-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTICK",
        "first_name": "CHARLES",
        "middle_name": "FRANCIS",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "15168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fulton Lipscomb, M.D.
• Monica Lomanto
• Johanna Longero
• Esperanza Lugo, ED.D.
• Lillian Elizabeth Lundy, RN
• Vivian Ma, CCC-SLP
• Genevieve Macfarlan, SLP-CF
• William Ritchie Mackenzie, M.D.
• Geeta Anjli Maggu, PHARM.D.
• Mikaela Magwili

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.