Maurina Gaoiran Bartlett, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

71902 Issued in CA

Practice address

2625 Canet Rd
Route 2 Box 439
San Luis Obispo, CA 93401

Phone

(805) 674-1961

NPI assigned

Nov 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1043617764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2399 S BROADWAY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547832",
            "telephone_number": "805-674-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 CANET RD",
            "address_2": "ROUTE 2 BOX 439",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-674-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLETT",
        "first_name": "MAURINA",
        "middle_name": "GAOIRAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "71902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "71902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Mary Barron, M.S., LMFT
• Barry Eibschutz, M.D. Inc
• Matthew James Barry, DO
• Alyn Bartick, MFT
• Keith Bartlett
• Kevin Hurley Bascom
• Darrell Bennett Bass, DDS
• John Lee Bass, NP, CNS, PHD
• Tamara J Battle, M.D.
• Brittany Bauer, ATC

• Pharmacist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.