Individual provider Active NPI

Eric Sirich, PHARMD

  • Pharmacist
  • Glendora, CA
National Provider Identifier
1144621434
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
55877 Issued in CA
Practice address
707 W Route 66
Suite 103
Glendora, CA 91740-4174
Phone
(626) 335-0011
Fax
(626) 335-1499
NPI assigned
Sep 6, 2014
Last updated
Feb 15, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 55877 CA Primary

Addresses

Primary practice location

707 W Route 66
Suite 103
Glendora, CA 91740-4174

Mailing address

707 W Route 66
Suite 103
Glendora, CA 91740-4174
Phone (626) 335-0011

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
55877CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1144621434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W ROUTE 66",
            "address_2": "SUITE 103",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404174",
            "telephone_number": "626-335-0011",
            "fax_number": "626-335-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W ROUTE 66",
            "address_2": "SUITE 103",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404174",
            "telephone_number": "626-335-0011",
            "fax_number": "626-335-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRICH",
        "first_name": "ERIC",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-06",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.