Active NPI
Lara Aceves, PHARMACY TECHNICIAN
- Pharmacy Technician
- Temecula, CA
National Provider Identifier
1093481889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 43638
- Practice address
- 31719 Hwy 79 South
Temecula, CA 92592 - Phone
- (951) 302-9353
- Fax
- (951) 302-9148
- NPI assigned
- Aug 20, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 43638 | CA | Primary |
Addresses
Primary practice location
31719 Hwy 79 South
Temecula, CA 92592
Mailing address
PO Box 24
Wildomar, CA 92595-0024
Phone (951) 541-3643
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 |
|---|---|---|---|
| 43638 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1093481889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925950024",
"telephone_number": "951-541-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31719 HWY 79 SOUTH",
"city": "TEMECULA",
"state": "CA",
"postal_code": "92592",
"telephone_number": "951-302-9353",
"fax_number": "951-302-9148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVES",
"first_name": "LARA",
"name_prefix": "Mrs.",
"credential": "PHARMACY TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "43638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.