Organization Active NPI

Maria Lopez Andrzejek

Doing business as Los Portales Pharmacy

  • Pharmacist
  • San Francisco, CA
National Provider Identifier
1215093489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHY 47122 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
PHA471220MedicaidCA

Other names 1

  • Los Portales Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Los Portales Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.