Individual provider Active NPI

Erin Noviana, RPH (PHARMACIST)

  • Pharmacist
  • Santa Rosa, CA
National Provider Identifier
1154013530
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH66556 Issued in CA
Practice address
3301 Jeremy CT
Santa Rosa, CA 95404-1856
Phone
(707) 812-3992
NPI assigned
May 23, 2023
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH66556 CA Primary

Addresses

Primary practice location

3301 Jeremy CT
Santa Rosa, CA 95404-1856

Mailing address

3301 Jeremy CT
Santa Rosa, CA 95404-1856
Phone (707) 812-3992

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

State licenses

LicenseStateTypeSpecialty
RPH66556CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1154013530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 JEREMY CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041856",
            "telephone_number": "707-812-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 JEREMY CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041856",
            "telephone_number": "707-812-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVIANA",
        "first_name": "ERIN",
        "credential": "RPH (PHARMACIST)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH66556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.