Jadine Leslee Tom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH42641 Issued in CA

Practice address

135 Pierce St
Daly City, CA 94015-1934

Phone

(650) 992-2521

Fax

(650) 992-2869

NPI assigned

Apr 20, 2017

Sex

Female

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

Practice roles

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.

• Garfield Beach CVS LLC

  • Pharmacy
  • Daly City, CA
  • NPI 1275971293
  NPD (past)
• Garfield Beach CVS, L.L.C.

  • Pharmacy
  • Jurupa Valley, CA
  • NPI 1780573113
  NPD (past)

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1992230577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PIERCE ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151934",
            "telephone_number": "650-992-2521",
            "fax_number": "650-992-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PIERCE ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151934",
            "telephone_number": "650-992-2521",
            "fax_number": "650-992-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "JADINE",
        "middle_name": "LESLEE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH42641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijah Tino Tolentino-Medios
• Tolosa Sison Prof. Dental. Corp.
• Maria Diana G. Tolosa, DMD
• Brian Tom
• Dennis Tom, MD
• Stella Tom, DDS
• Tony Lee Wong, MD., Inc.
• Total Renal Care Inc
• Joann Jean Toy, DMD
• Cam Tran

• Pharmacist in Daly City, CA
• Providers in Daly City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.