Active NPI
Bopta Serey, PHARM.D
- Pharmacist
- Long Beach, CA
National Provider Identifier
1396289369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75885
- Practice address
- 5545 E Stearns St
Long Beach, CA 90815-3125 - Phone
- (562) 596-8690
- NPI assigned
- Dec 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 75885 | CA | Primary |
Addresses
Primary practice location
5545 E Stearns St
Long Beach, CA 90815-3125
Mailing address
70 Elm St.
West Haven, CT 06516
Phone (203) 933-5260
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75885 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Connecticut Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Rite Aid of Connecticut Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- West Haven, CT
- NPI 1245302728
-
- Community/Retail Pharmacy
- New Haven, CT
- NPI 1326411570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1396289369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 ELM ST.",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "203-933-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5545 E STEARNS ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153125",
"telephone_number": "562-596-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEREY",
"first_name": "BOPTA",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-11",
"last_updated": "2022-03-23",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.