Active NPI
Curenta LLC
- Community/Retail Pharmacy
- Laguna Hills, CA
National Provider Identifier
1336765569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- CURENTA LLC
- Practice address
- 23141 Verdugo Dr Ste 103
Laguna Hills, CA 92653-1341 - Phone
- (949) 688-7075
- Fax
- (949) 688-6617
- NPI assigned
- Jun 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramy Mikhail, RPH
- Title
- RPH/ Pharmacist in Charge
- Phone
- (949) 662-8075
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
23141 Verdugo Dr Ste 103
Laguna Hills, CA 92653-1341
Mailing address
23141 Verdugo Dr Ste 103
Laguna Hills, CA 92653-1341
Phone (949) 688-7075
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336765569 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210325002468 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 5092126508 |
1 other NPI on this enrollment Practice locations: Alhambra, CA; Laguna Hills, CA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
215 E Main St
Alhambra, CA 91801
Phone (949) 688-7075
23141 Verdugo Dr
Ste 103
Laguna Hills, CA 92653
Phone (949) 688-7075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615420800000",
"number": "1336765569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23141 VERDUGO DR STE 103",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531341",
"telephone_number": "949-688-7075",
"fax_number": "949-688-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23141 VERDUGO DR STE 103",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531341",
"telephone_number": "949-688-7075",
"fax_number": "949-688-6617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CURENTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-23",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A",
"authorized_official_last_name": "MIKHAIL",
"authorized_official_first_name": "RAMY",
"authorized_official_title_or_position": "RPH/ PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "949-662-8075",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336765569",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.