Organization Active NPI

Curenta LLC

  • Community/Retail Pharmacy
  • Laguna Hills, CA
National Provider Identifier
1336765569
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Mar 11, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1336765569MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.