Active NPI
Angina El, RPH
- Pharmacist
- San Pedro, CA
National Provider Identifier
1003574807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85603
- Practice address
- 950 N Western Ave
San Pedro, CA 90732-2427 - Phone
- (310) 832-7258
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85603 | CA | Primary |
Addresses
Primary practice location
950 N Western Ave
San Pedro, CA 90732-2427
Mailing address
2576 E 219TH St
Long Beach, CA 90810-1723
Phone (562) 242-4774
Other practice location 1
11950 Valley View St
Garden Grove, CA 92845-1239
Phone (714) 893-4196
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 |
|---|---|---|---|
| 85603 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Garden Grove, CA
- NPI 1306851696
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1003574807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2576 E 219TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908101723",
"telephone_number": "562-242-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322427",
"telephone_number": "310-832-7258"
}
],
"practiceLocations": [
{
"address_1": "11950 Valley View St",
"address_purpose": "LOCATION",
"city": "Garden Grove",
"state": "CA",
"postal_code": "928451239",
"country_code": "US",
"telephone_number": "714-893-4196",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL",
"first_name": "ANGINA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.