Active NPI
Michelle Banaga, PHARM.D.
- Pharmacist
- San Ramon, CA
National Provider Identifier
1013217504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55732
- Practice address
- 11050 Bollinger Canyon Rd
San Ramon, CA 94582-4959 - Phone
- (925) 359-2005
- Fax
- (925) 359-2006
- NPI assigned
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 55732 | CA | Primary |
Addresses
Primary practice location
11050 Bollinger Canyon Rd
San Ramon, CA 94582-4959
Mailing address
11050 Bollinger Canyon Rd
San Ramon, CA 94582-4959
Phone (925) 359-2005
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55732 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway 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.
-
- Community/Retail Pharmacy
- San Ramon, CA
- NPI 1407056872
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1013217504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11050 BOLLINGER CANYON RD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824959",
"telephone_number": "925-359-2005",
"fax_number": "925-359-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11050 BOLLINGER CANYON RD",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945824959",
"telephone_number": "925-359-2005",
"fax_number": "925-359-2006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANAGA",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-29",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.