Active NPI
Maria Lopez Andrzejek
Doing business as Los Portales Pharmacy
- Pharmacist
- San Francisco, CA
National Provider Identifier
1215093489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHY 47122
- Legal business name
- MARIA LOPEZ ANDRZEJEK
- Doing business as
- Los Portales Pharmacy
- Practice address
- 2480 Mission St
Suite 110
San Francisco, CA 94110-2468 - Phone
- (415) 826-3484
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Andrzejek, PHARM.D.
- Title
- Pharmacist
- Phone
- (415) 826-3484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PHY 47122 | CA | Primary |
Addresses
Primary practice location
2480 Mission St
Suite 110
San Francisco, CA 94110-2468
Mailing address
2480 Mission St
Suite 110
San Francisco, CA 94110-2468
Phone (415) 826-3484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA471220 | Medicaid | CA |
Other names 1
- Los Portales Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Los Portales Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacist
- San Francisco, CA
- NPI 1427481019
-
- Pharmacist
- San Francisco, CA
- NPI 1740601764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215093489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 MISSION ST",
"address_2": "SUITE 110",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102468",
"telephone_number": "415-826-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 MISSION ST",
"address_2": "SUITE 110",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941102468",
"telephone_number": "415-826-3484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA LOPEZ ANDRZEJEK",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ANDRZEJEK",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "PHARMACIST",
"authorized_official_telephone_number": "415-826-3484",
"authorized_official_credential": "PHARM.D."
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "PHY 47122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA471220",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Los Portales Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.