Individual provider Active NPI

Erish Malonzo

  • Pharmacist
  • Northridge, CA
National Provider Identifier
1114488293
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80145 Issued in CA
Practice address
8302 Rathburn Ave
Northridge, CA 91325-4208
Phone
(818) 429-9028
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80145 CA Primary

Addresses

Primary practice location

8302 Rathburn Ave
Northridge, CA 91325-4208

Mailing address

8302 Rathburn Ave
Northridge, CA 91325-4208
Phone (818) 429-9028

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

LicenseStateTypeSpecialty
80145CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1114488293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 RATHBURN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254208",
            "telephone_number": "818-429-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 RATHBURN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254208",
            "telephone_number": "818-429-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONZO",
        "first_name": "ERISH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.