Individual provider Active NPI

Yadira In Yamech Lopez Martinez

  • Pharmacy Technician
  • San Diego, CA
National Provider Identifier
1174107320
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
115745 Issued in CA
Practice address
6405 Mira Mesa Blvd
San Diego, CA 92121-4147
Phone
(855) 975-8321
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 115745 CA Primary

Addresses

Primary practice location

6405 Mira Mesa Blvd
San Diego, CA 92121-4147

Mailing address

6405 Mira Mesa Blvd Ste 210
San Diego, CA 92121-4146
Phone (866) 701-6565

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

State licenses

LicenseStateTypeSpecialty
115745CAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1174107320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 MIRA MESA BLVD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214146",
            "telephone_number": "866-701-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 MIRA MESA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214147",
            "telephone_number": "855-975-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ MARTINEZ",
        "first_name": "YADIRA",
        "middle_name": "IN YAMECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "115745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.