Active NPI
Peter Koinange
- Pharmacist
- Monterey, CA
National Provider Identifier
1285903807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57985
- Practice address
- 416 Alvarado St
Monterey, CA 93940-2711 - Phone
- (831) 644-9057
- Fax
- (831) 644-9104
- NPI assigned
- Dec 28, 2011
- Last updated
- Dec 28, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57985 | CA | Primary |
| Pharmacist | 183500000X | S015859 | AZ |
Addresses
Primary practice location
416 Alvarado St
Monterey, CA 93940-2711
Mailing address
416 Alvarado St
Monterey, CA 93940-2711
Phone (831) 644-9057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57985 | CA | MD | Pediatric Dentist |
| S015859 | AZ | 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, 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": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1285903807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 ALVARADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402711",
"telephone_number": "831-644-9057",
"fax_number": "831-644-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 ALVARADO ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939402711",
"telephone_number": "831-644-9057",
"fax_number": "831-644-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOINANGE",
"first_name": "PETER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57985",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S015859",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.