Active NPI
Mys Elbilleh
- Pharmacist
- Stockton, CA
National Provider Identifier
1093271892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH80261
- Practice address
- 7929 Lower Sacramento Rd
Stockton, CA 95210-3723 - Phone
- (209) 474-0880
- NPI assigned
- Feb 16, 2019
- Last updated
- Feb 16, 2019
- Sex
- Female
- 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 | RPH80261 | CA | Primary |
Addresses
Primary practice location
7929 Lower Sacramento Rd
Stockton, CA 95210-3723
Mailing address
7929 Lower Sacramento Rd
Stockton, CA 95210-3723
Phone (209) 474-0880
Other practice location 1
1249 Stratford Cir Apt 42
Stockton, CA 95207-5061
Phone (209) 898-2637
Other practice location 2
1249 Stratford Cir Apt 42
Stockton, CA 95207-5061
Phone (209) 898-2637
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 |
|---|---|---|---|
| RPH80261 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1550275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550275200000",
"number": "1093271892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7929 LOWER SACRAMENTO RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103723",
"telephone_number": "209-474-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7929 LOWER SACRAMENTO RD",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103723",
"telephone_number": "209-474-0880"
}
],
"practiceLocations": [
{
"address_1": "1249 Stratford Cir Apt 42",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952075061",
"country_code": "US",
"telephone_number": "209-898-2637",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1249 Stratford Cir Apt 42",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952075061",
"country_code": "US",
"telephone_number": "209-898-2637",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELBILLEH",
"first_name": "MYS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-16",
"last_updated": "2019-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH80261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.