Active NPI
Ellie La, PHARMD
- Pharmacist
- Laguna Niguel, CA
National Provider Identifier
1417604828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85866
- Practice address
- 30192 Town Center Dr
Laguna Niguel, CA 92677-2037 - Phone
- (949) 495-8414
- NPI assigned
- Mar 5, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 85866 | CA | Primary |
Addresses
Primary practice location
30192 Town Center Dr
Laguna Niguel, CA 92677-2037
Mailing address
30192 Town Center Dr
Laguna Niguel, CA 92677-2037
Phone (949) 495-8414
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
30192 Town Center Dr
Laguna Niguel, CA 92677
Phone (949) 495-8414
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646438400000",
"number": "1417604828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30192 TOWN CENTER DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772037",
"telephone_number": "949-495-8414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30192 TOWN CENTER DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772037",
"telephone_number": "949-495-8414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "ELLIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-05",
"last_updated": "2022-03-05",
"certification_date": "2022-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.