Active NPI
Enrique Alberto Rojas
- Pharmacy Technician
- Colton, CA
National Provider Identifier
1083017420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 105415
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1801 - Phone
- (909) 580-1008
- NPI assigned
- Sep 30, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 105415 | CA | Primary |
| Pharmacy Technician | 183700000X | T024683 | AZ | |
| Pharmacy Technician | 183700000X | 520107010104736 | CA |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1801
Mailing address
862 S Willow Ave
Rialto, CA 92376-6935
Phone (956) 429-2067
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 |
|---|---|---|---|
| 105415 | CA | MD | Marriage & Family Therapist |
| T024683 | AZ | MD | Pharmacy Technician |
| 520107010104736 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412035200000",
"number": "1083017420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 S WILLOW AVE",
"city": "RIALTO",
"state": "CA",
"postal_code": "923766935",
"telephone_number": "956-429-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-1008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS",
"first_name": "ENRIQUE",
"middle_name": "ALBERTO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-30",
"last_updated": "2014-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "105415",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "AZ",
"license": "T024683",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "520107010104736",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.