Active NPI
Rachelle Daun Ancona, PHARMD
- Pharmacist
- Santa Monica, CA
National Provider Identifier
1053807529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82105
- Practice address
- 2020 Santa Monica Blvd
Santa Monica, CA 90404-2023 - Phone
- (323) 223-7847
- Fax
- (310) 582-6238
- NPI assigned
- Jul 7, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03337197 | OH | |
| Pharmacist | 183500000X | 82105 | CA | Primary |
Addresses
Primary practice location
2020 Santa Monica Blvd
Santa Monica, CA 90404-2023
Mailing address
2020 Santa Monica Blvd Ste 570
Santa Monica, CA 90404-2131
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 |
|---|---|---|---|
| 82105 | CA | MD | Pharmacist |
| 03337197 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1053807529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD STE 570",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SANTA MONICA BLVD",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904042023",
"telephone_number": "323-223-7847",
"fax_number": "310-582-6238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANCONA",
"first_name": "RACHELLE",
"middle_name": "DAUN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-07",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03337197",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.