Maria L Reyes, RPH
Individual provider Active NPI Pharmacist · Felton, CA
NPI 1104050830 · NPPES record last updated May 9, 2009
Key facts
- NPI
- 1104050830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 48997 (CA)
- Practice address
- 6123 Highway 9
Felton, CA 95018-9701 - Phone
- (831) 335-7252
- Fax
- (831) 335-2148
- NPI assigned
- May 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48997 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 48997 | CA | Yes |
Addresses
Primary practice location
6123 Highway 9
Felton, CA 95018-9701
Mailing address
435 Hubbard Gulch Rd
Ben Lomond, CA 95005-9223
Phone (831) 609-6047
Other providers in Felton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.