Active NPI
Sandra Michel Keroles
- Pharmacist
- Menifee, CA
National Provider Identifier
1356880355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 76216
- Practice address
- 27350 Sun City Blvd
Menifee, CA 92586-5506 - Phone
- (951) 301-0063
- NPI assigned
- Feb 23, 2017
- Sex
- Female
- 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 | 76216 | CA | Primary |
Addresses
Primary practice location
27350 Sun City Blvd
Menifee, CA 92586-5506
Mailing address
817 Villa Montes Cir
Corona, CA 92879-8569
Phone (310) 755-1161
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 |
|---|---|---|---|
| 76216 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1356880355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 VILLA MONTES CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928798569",
"telephone_number": "310-755-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27350 SUN CITY BLVD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925865506",
"telephone_number": "951-301-0063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEROLES",
"first_name": "SANDRA",
"middle_name": "MICHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-23",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "76216",
"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 Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.