Individual provider Active NPI

Maria Vodovoz, PHARMD

  • Pharmacist
  • Sebastopol, CA
National Provider Identifier
1003768839
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
91859 Issued in CA
Practice address
652 Petaluma Ave Ste I1
Sebastopol, CA 95472-4266
Phone
(707) 824-1876
NPI assigned
Feb 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 91859 CA Primary

Addresses

Primary practice location

652 Petaluma Ave Ste I1
Sebastopol, CA 95472-4266

Mailing address

2275 Francisco St Apt 202
San Francisco, CA 94123-1963

Other practice location 1

16251 Main St
Guerneville, CA 95446-8300
Phone (707) 869-9055

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
91859CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sebastopol Family Pharmacy, Inc. Past Accepting new patients
Lark Rexall Drugs Inc 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1003768839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 FRANCISCO ST APT 202",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 PETALUMA AVE STE I1",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724266",
            "telephone_number": "707-824-1876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16251 Main St",
            "address_purpose": "LOCATION",
            "city": "Guerneville",
            "state": "CA",
            "postal_code": "954468300",
            "country_code": "US",
            "telephone_number": "707-869-9055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VODOVOZ",
        "first_name": "MARIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "91859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.