Active NPI
Paul Carmola
- Pharmacist
- Tiburon, CA
National Provider Identifier
1073986667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71704
- Practice address
- 1599 Tiburon Blvd
Tiburon, CA 94920-2525 - Phone
- (415) 435-3843
- NPI assigned
- Nov 4, 2015
- Last updated
- Nov 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 71704 | CA | Primary |
Addresses
Primary practice location
1599 Tiburon Blvd
Tiburon, CA 94920-2525
Mailing address
1599 Tiburon Blvd
Tiburon, CA 94920-2525
Phone (415) 435-3843
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71704 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1073986667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1599 TIBURON BLVD",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202525",
"telephone_number": "415-435-3843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1599 TIBURON BLVD",
"city": "TIBURON",
"state": "CA",
"postal_code": "949202525",
"telephone_number": "415-435-3843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMOLA",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-04",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tiburon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.