Individual provider Active NPI

Joy Viscia Victoria Bareng, RPH

  • Pharmacist
  • Lathrop, CA
National Provider Identifier
1043689193
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70599 Issued in CA
Practice address
16858 Golden Valley Pkwy
Lathrop, CA 95330
Phone
(209) 242-5041
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70599 CA Primary

Addresses

Primary practice location

16858 Golden Valley Pkwy
Lathrop, CA 95330

Mailing address

1900 Oakdale Rd Apt 87
Modesto, CA 95355-2980
Phone (408) 839-8303

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

LicenseStateTypeSpecialty
70599CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1043689193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 OAKDALE RD APT 87",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552980",
            "telephone_number": "408-839-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16858 GOLDEN VALLEY PKWY",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "95330",
            "telephone_number": "209-242-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARENG",
        "first_name": "JOY VISCIA VICTORIA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lathrop, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.