Active NPI
Reyvin Macala
- Pharmacy Technician
- Redwood City, CA
National Provider Identifier
1366138638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 186663
- Practice address
- 340 Woodside PLZ
Redwood City, CA 94061-3259 - Phone
- (650) 368-7008
- NPI assigned
- Apr 11, 2023
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 186663 | CA | Primary |
Addresses
Primary practice location
340 Woodside PLZ
Redwood City, CA 94061-3259
Mailing address
343 Lincoln Ave
Alameda, CA 94501-3218
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 |
|---|---|---|---|
| 186663 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1366138638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 LINCOLN AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 WOODSIDE PLZ",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940613259",
"telephone_number": "650-368-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACALA",
"first_name": "REYVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-11",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "186663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.