Active NPI
Joann Lozada Corrales, RPH
- Pharmacist
- Moreno Valley, CA
National Provider Identifier
1275800229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 47802
- Practice address
- 16020 Perris Blvd
Moreno Valley, CA 92551-4618 - Phone
- (951) 247-2113
- Fax
- (951) 247-2762
- NPI assigned
- Nov 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 47802 | CA | Primary |
Addresses
Primary practice location
16020 Perris Blvd
Moreno Valley, CA 92551-4618
Mailing address
18647 Sunset Knoll Dr
Riverside, CA 92504-9447
Phone (951) 313-2508
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 47802 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Moreno Valley, CA
- NPI 1528263308
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1275800229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18647 SUNSET KNOLL DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925049447",
"telephone_number": "951-313-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16020 PERRIS BLVD",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925514618",
"telephone_number": "951-247-2113",
"fax_number": "951-247-2762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORRALES",
"first_name": "JOANN",
"middle_name": "LOZADA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-18",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 47802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.