Katrinne Anne Diaz Mariano, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

75668 Issued in CA

Practice address

9305 Mission Gorge Rd
Santee, CA 92071-3815

Phone

(619) 258-8011

Fax

(209) 341-0849

NPI assigned

Sep 26, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co.

  • Pharmacy
  • Santee, CA
  • NPI 1124262316
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1356850952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713815",
            "telephone_number": "619-258-8011",
            "fax_number": "209-341-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713815",
            "telephone_number": "619-258-8011",
            "fax_number": "209-341-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "KATRINNE ANNE",
        "middle_name": "DIAZ",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "062186",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "75668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eva Marie Marcelli, M.A. LMFT
• Melissa Joan Marcy, L. AC., DIPL. OM
• Marea MD
• Brandon Kent Maret, PTA
• Aldwin John Estrosa Mariano, PT
• Patricia Ann Marks
• Violeta Martel, MD
• Avery Martin
• Charlette Marie Martin, MA
• Courtney Joann Martin, IBCLC

• Pharmacist in Santee, CA
• Providers in Santee, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.