Individual provider Active NPI

Monica Abo Abo Badillo, RPH

  • Pharmacist
  • Lemoore, CA
National Provider Identifier
1184923989
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 62388 Issued in CA
Practice address
820 N Lemoore Ave
Lemoore, CA 93245-2333
Phone
(559) 925-6027
Fax
(559) 925-6032
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 62388 CA Primary

Addresses

Primary practice location

820 N Lemoore Ave
Lemoore, CA 93245-2333

Mailing address

333 E Cinnamon Dr
Apt. # 194
Lemoore, CA 93245-2885
Phone (559) 924-4184

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
RPH 62388CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Organizations & group practices 2

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1184923989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CINNAMON DR",
            "address_2": "APT. # 194",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452885",
            "telephone_number": "559-924-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N LEMOORE AVE",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452333",
            "telephone_number": "559-925-6027",
            "fax_number": "559-925-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "MONICA",
        "middle_name": "ABO ABO",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 62388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.