Evelyn A Acevedo

Individual provider Active NPI Pharmacy Technician · Pasadena, CA

NPI 1407581689 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1407581689
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
84014 (CA)
Practice address
1421 E Washington Blvd
Pasadena, CA 91104-2650
Phone
(626) 296-0245
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
84014CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past
since Jul 24, 2022
Accepting new patients
Thrifty Payless Inc Past
since Jul 24, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 84014 CA Yes

Addresses

Primary practice location

1421 E Washington Blvd
Pasadena, CA 91104-2650

Mailing address

1421 E Washington Blvd
Pasadena, CA 91104-2650
Phone (626) 296-0245

Other providers in Pasadena, CA

All providers in Pasadena, CA · Pharmacy Technician in California

Sources for this page

Verify at the official NPI Registry.