Individual provider Active NPI

Miriam Yesenia Vasquez Garcia, PHARMD

  • Pharmacist
  • Chino, CA
National Provider Identifier
1346974797
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
85079 Issued in CA
Practice address
5934 Notre Dame Ave Unit 413
Chino, CA 91710-7145
Phone
(909) 295-0364
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 85079 CA Primary

Addresses

Primary practice location

5934 Notre Dame Ave Unit 413
Chino, CA 91710-7145

Mailing address

5934 Notre Dame Ave Unit 413
Chino, CA 91710-7145

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
85079CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1346974797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 NOTRE DAME AVE UNIT 413",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 NOTRE DAME AVE UNIT 413",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107145",
            "telephone_number": "909-295-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ GARCIA",
        "first_name": "MIRIAM",
        "middle_name": "YESENIA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.