Active NPI
Esteban Sierra, PHARMACY TECH
- Pharmacy Technician
- Corona, CA
National Provider Identifier
1184743619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 61972
- Practice address
- 221 E 3Rd St
Corona, CA 92879-1438 - Phone
- (951) 735-4600
- Fax
- (951) 284-4701
- NPI assigned
- Mar 28, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 61972 | CA | Primary |
Addresses
Primary practice location
221 E 3Rd St
Corona, CA 92879-1438
Mailing address
221 E 3Rd St
Corona, CA 92879-1438
Phone (951) 735-4600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61972 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Drug,Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184743619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 E 3RD ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928791438",
"telephone_number": "951-735-4600",
"fax_number": "951-284-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 E 3RD ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928791438",
"telephone_number": "951-735-4600",
"fax_number": "951-284-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA",
"first_name": "ESTEBAN",
"name_prefix": "Mr.",
"credential": "PHARMACY TECH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "61972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.