Active NPI
Emmanuel Magno Olivares
- Pharmacist
- Menifee, CA
National Provider Identifier
1306451257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83007
- Practice address
- 30340 Haun Rd
Menifee, CA 92584-6806 - Phone
- (951) 723-6152
- NPI assigned
- Sep 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83007 | CA | Primary |
Addresses
Primary practice location
30340 Haun Rd
Menifee, CA 92584-6806
Mailing address
4674 Bannister Ave
El Monte, CA 91732-1708
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 |
|---|---|---|---|
| 83007 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1306451257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4674 BANNISTER AVE",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917321708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30340 HAUN RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925846806",
"telephone_number": "951-723-6152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVARES",
"first_name": "EMMANUEL",
"middle_name": "MAGNO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.