Active NPI
Noemie Galang Dyer, RPH
- Pharmacist
- Lake Elsinore, CA
National Provider Identifier
1992930812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53330
- Practice address
- 32261 Mission TRL
Lake Elsinore, CA 92530-4577 - Phone
- (951) 674-0301
- Fax
- (951) 674-8621
- NPI assigned
- May 20, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53330 | CA | Primary |
| Pharmacist | 183500000X | PD10382 | AR |
Addresses
Primary practice location
32261 Mission TRL
Lake Elsinore, CA 92530-4577
Mailing address
32261 Mission TRL
Lake Elsinore, CA 92530-4577
Phone (951) 674-0301
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD10382 | AR | MD | Pharmacist |
| 53330 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1992930812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32261 MISSION TRL",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304577",
"telephone_number": "951-674-0301",
"fax_number": "951-674-8621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32261 MISSION TRL",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304577",
"telephone_number": "951-674-0301",
"fax_number": "951-674-8621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "NOEMIE",
"middle_name": "GALANG",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53330",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD10382",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.