Individual provider Active NPI

Evelyn Kinuyo Endow, R.PH

  • Pharmacist
  • Anaheim, CA
National Provider Identifier
1255450003
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 32096 Issued in CA
Practice address
1990 W Crescent Ave
Anaheim, CA 92801-3801
Phone
(714) 520-6376
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 32096 CA Primary
Pharmacist 183500000X 6724 AZ

Addresses

Primary practice location

1990 W Crescent Ave
Anaheim, CA 92801-3801

Mailing address

19744 Beach Blvd # 249
Huntington Beach, CA 92648-2988
Phone (714) 964-5106

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
6724AZMDPharmacist
RPH 32096CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1255450003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19744 BEACH BLVD # 249",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482988",
            "telephone_number": "714-964-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 W CRESCENT AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013801",
            "telephone_number": "714-520-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENDOW",
        "first_name": "EVELYN",
        "middle_name": "KINUYO",
        "name_prefix": "Ms.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 32096",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "6724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

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

Verify at the official NPI Registry.