Jeannette J Fornataro, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

46876 Issued in CA

Practice address

2800 Independence Dr
W146
Livermore, CA 94551-7628

Phone

(925) 443-6783

NPI assigned

Nov 9, 2011

Last updated

Oct 25, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jeannette J Lau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1184901845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 INDEPENDENCE DR",
            "address_2": "W146",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517628",
            "telephone_number": "925-443-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 INDEPENDENCE DR",
            "address_2": "W146",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517628",
            "telephone_number": "925-443-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORNATARO",
        "first_name": "JEANNETTE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-09",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "LAU",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "PHARM.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacist in Livermore, CA
• Providers in Livermore, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.