Active NPI
Randell Wayne Mello, RPH
- Pharmacist
- Laguna Niguel, CA
National Provider Identifier
1114581865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32692
- Practice address
- 28221 Crown Valley Pkwy
Laguna Niguel, CA 92677 - Phone
- (949) 831-2011
- NPI assigned
- Apr 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32692 | CA | Primary |
Addresses
Primary practice location
28221 Crown Valley Pkwy
Laguna Niguel, CA 92677
Mailing address
26262 Cannes Cir
Mission Viejo, CA 92692-5213
Phone (949) 422-1273
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS LLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1114581865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26262 CANNES CIR",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926925213",
"telephone_number": "949-422-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28221 CROWN VALLEY PKWY",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "92677",
"telephone_number": "949-831-2011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "RANDELL",
"middle_name": "WAYNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-29",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
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- Juan Alberto Mejia, PTA
- Kerry Melachouris, RN PMHNP STUDENT
- Melissa Przeklasa Auth MD Professional Corporation
- Melissa Przeklasa Auth MD Professional Corporation (Orange County Child Neurology)
- Montana Kaye Mellott, RN
- Memorialcare Surgical Center at Saddleback LLC (Laguna Niguel Surgery Center)
- Mesisca Physical Therapy Inc
- Dennis John Mesisca, PHYSICAL THERAPIST
- Michelle C Mezin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.