Jacklyn Mitsubata, RPH
NPI 1679262323ActiveIndividual· Pharmacist· Oceanside, CA
Pharmacist (RPH) in Oceanside, California, licensed in CA and PA, with an NPI issued in May 2023.
Overview
| NPI | 1679262323 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RPH |
| Sole proprietor | Yes |
| NPI issued | May 8, 2023 |
| Last updated in NPPES | May 8, 2023 |
| Certified by provider | May 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 86686 | CA |
| Pharmacist | 183500000X | RP451403 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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