Individual provider Active NPI

Mary Jeanette Dancel, RPH

  • Pharmacist
  • Richmond, CA
National Provider Identifier
1104518414
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
62189 Issued in CA
Practice address
2300 Macdonald Ave
Richmond, CA 94804-1878
Phone
(510) 234-4381
NPI assigned
May 24, 2023
Last updated
May 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 62189 CA Primary

Addresses

Primary practice location

2300 Macdonald Ave
Richmond, CA 94804-1878

Mailing address

2300 Macdonald Ave
Richmond, CA 94804-1878
Phone (510) 234-4381

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
62189CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercury Pharmacy Corporation CurrentSince May 28, 2023 Accepting new patients
Central Pharmacy PastSince May 28, 2023 Accepting new patients

Locations

2300 Macdonald Ave
Richmond, CA 94804
Phone (510) 234-4381

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1104518414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041878",
            "telephone_number": "510-234-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MACDONALD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948041878",
            "telephone_number": "510-234-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCEL",
        "first_name": "MARY",
        "middle_name": "JEANETTE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.