Active NPI
Angelena Nellie Barragun
- Pharmacy Technician
- Banning, CA
National Provider Identifier
1104450261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 162363
- Practice address
- 60 N Highland Springs Ave
Banning, CA 92220-3048 - Phone
- (951) 845-5984
- NPI assigned
- Feb 27, 2020
- Last updated
- Feb 27, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 162363 | CA | Primary |
Addresses
Primary practice location
60 N Highland Springs Ave
Banning, CA 92220-3048
Mailing address
703 Allegheny St Unit 13
Beaumont, CA 92223-5752
Phone (909) 255-5838
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 |
|---|---|---|---|
| 162363 | CA | MD | Pharmacy Technician |
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": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1104450261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 ALLEGHENY ST UNIT 13",
"city": "BEAUMONT",
"state": "CA",
"postal_code": "922235752",
"telephone_number": "909-255-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 N HIGHLAND SPRINGS AVE",
"city": "BANNING",
"state": "CA",
"postal_code": "922203048",
"telephone_number": "951-845-5984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRAGUN",
"first_name": "ANGELENA",
"middle_name": "NELLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-27",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "162363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
- Banning SNF Healthcare, LLC (Sunrise Post Acute)
- Banning Unified School District
- Amy Barber, FNP-C
- Christopher L Barbian
- Jeanell Barker
- Gloria Bautista
- Beaver Medical Group LP (Beaver Medical Group - Banning Extended Care)
- Beaver Medical Group P C (Optum Banner Specialty Care)
- Beaver Medical Group Ramsey Primary (Beaver Medical Group LP)
- Beaver Medical Group, LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.