Maria Chen
Individual provider Active NPI Pharmacist · Saratoga, CA
NPI 1134593700 · NPPES record last updated Nov 19, 2015
Key facts
- NPI
- 1134593700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 45491 (CA)
- Practice address
- 12940 Saratoga Sunnyvale Rd
Saratoga, CA 95070-4250 - Phone
- (408) 867-6822
- Fax
- (408) 867-1306
- NPI assigned
- Nov 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45491 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45491 | CA | Yes |
Addresses
Primary practice location
12940 Saratoga Sunnyvale Rd
Saratoga, CA 95070-4250
Mailing address
12940 Saratoga Sunnyvale Rd
Saratoga, CA 95070-4250
Phone (408) 867-6822
Other providers in Saratoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.