Individual provider Active NPI

Virginia Henkhaus

  • Pharmacy Technician
  • Garden Grove, CA
National Provider Identifier
1386062271
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
2497 Issued in CA
Practice address
13111 Sandra PL
Garden Grove, CA 92843-1317
Phone
(714) 321-9239
NPI assigned
Mar 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 2497 CA Primary

Addresses

Primary practice location

13111 Sandra PL
Garden Grove, CA 92843-1317

Mailing address

13111 Sandra PL
Garden Grove, CA 92843-1317
Phone (714) 321-9239

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

LicenseStateTypeSpecialty
2497CAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1396051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396051200000",
    "number": "1386062271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 SANDRA PL",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431317",
            "telephone_number": "714-321-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 SANDRA PL",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431317",
            "telephone_number": "714-321-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKHAUS",
        "first_name": "VIRGINIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-29",
        "last_updated": "2014-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "2497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2014; 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.