Raisa Mia Untalan Pangilinan Yoneyama, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

78503 Issued in CA

Practice address

317 E Kings St
Avenal, CA 93204-1630

Phone

(559) 345-6737

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raisa Mia Untalan Pangilinan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1114547916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N LOVERS LN APT 202",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932927407",
            "telephone_number": "510-386-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E KINGS ST",
            "city": "AVENAL",
            "state": "CA",
            "postal_code": "932041630",
            "telephone_number": "559-345-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONEYAMA",
        "first_name": "RAISA MIA",
        "middle_name": "UNTALAN PANGILINAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAISA MIA",
            "last_name": "PANGILINAN",
            "middle_name": "UNTALAN",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Avenal, CA
• Providers in Avenal, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.

Verify at the official NPI Registry.