Active NPI
Emeterio Medina, PHARMD / RPH
- Pharmacist
- Eureka, CA
National Provider Identifier
1356954770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 82527
- Practice address
- 3300 Broadway
Eureka, CA 95501-3809 - Phone
- (707) 832-5274
- NPI assigned
- Aug 25, 2020
- Last updated
- Aug 25, 2020
- Sex
- Male
- 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 | 82527 | CA | Primary |
Addresses
Primary practice location
3300 Broadway
Eureka, CA 95501-3809
Mailing address
4060 Walnut Dr
Eureka, CA 95503-7605
Phone (909) 672-4325
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82527 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1356954770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 WALNUT DR",
"city": "EUREKA",
"state": "CA",
"postal_code": "955037605",
"telephone_number": "909-672-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 BROADWAY",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013809",
"telephone_number": "707-832-5274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDINA",
"first_name": "EMETERIO",
"credential": "PHARMD / RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "82527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.