Healthcare Provider Details

I. General information

NPI: 1770120016
Provider Name (Legal Business Name): CASSIDY JANE DUNCAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2019
Last Update Date: 05/17/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19781 RINALDI ST
NORTHRIDGE CA
91326-4143
US

IV. Provider business mailing address

11731 DORAL AVE
PORTER RANCH CA
91326-1218
US

V. Phone/Fax

Practice location:
  • Phone: 818-832-3156
  • Fax: 818-832-5956
Mailing address:
  • Phone: 401-203-1376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number80461
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRPH80461
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: