Kelly C Aguilera – Pharmacist in Murrieta, CA

Key facts

NPI: 1003100371
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 57343 (CA)
Practice address: 27818 Clinton Keith Rd
T2499
Murrieta, CA 92562-8554
Phone: (951) 704-1124
NPI assigned: Jun 4, 2011
Sex: Female
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	57343	CA	Yes

Addresses

Primary practice location

27818 Clinton Keith Rd
T2499
Murrieta, CA 92562-8554

Mailing address

27818 Clinton Keith Rd
T2499
Murrieta, CA 92562-8554

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 4, 2011.

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307145600000",
    "number": "1003100371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27818 CLINTON KEITH RD",
            "address_2": "T2499",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27818 CLINTON KEITH RD",
            "address_2": "T2499",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628554",
            "telephone_number": "951-704-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILERA",
        "first_name": "KELLY",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "57343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

All providers in Murrieta, CA · Pharmacist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.