Active NPI
Anna Antrim
- Pharmacist
- Arroyo Grande, CA
National Provider Identifier
1396119707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59187
- Practice address
- 1168 W Branch St
Arroyo Grande, CA 93420-1906 - Phone
- (805) 474-0900
- NPI assigned
- Nov 23, 2015
- Last updated
- Nov 23, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59187 | CA | Primary |
| Pharmacist | 183500000X | 43947 | CA |
Addresses
Primary practice location
1168 W Branch St
Arroyo Grande, CA 93420-1906
Mailing address
11335 Eliano St
Atascadero, CA 93422-6159
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 |
|---|---|---|---|
| 43947 | CA | MD | Pharmacist |
| 59187 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1396119707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11335 ELIANO ST",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934226159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1168 W BRANCH ST",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934201906",
"telephone_number": "805-474-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTRIM",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59187",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arroyo Grande, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.