Individual provider Active NPI

William Leslie Shagena, PHARM D

  • Pharmacist
  • Murrieta, CA
National Provider Identifier
1437443603
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH36509 Issued in CA
Practice address
41040 California Oaks Rd
T1283
Murrieta, CA 92562-5749
Phone
(951) 696-7612
Fax
(951) 696-7612
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH36509 CA Primary

Addresses

Primary practice location

41040 California Oaks Rd
T1283
Murrieta, CA 92562-5749

Mailing address

41040 California Oaks Rd
T1283
Murrieta, CA 92562-5749
Phone (951) 696-7612

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

LicenseStateTypeSpecialty
RPH36509CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1437443603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41040 CALIFORNIA OAKS RD",
            "address_2": "T1283",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625749",
            "telephone_number": "951-696-7612",
            "fax_number": "951-696-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41040 CALIFORNIA OAKS RD",
            "address_2": "T1283",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625749",
            "telephone_number": "951-696-7612",
            "fax_number": "951-696-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAGENA",
        "first_name": "WILLIAM",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH36509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.