Active NPI
Mary Ellen Donaldson, R.PH.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Temecula, CA
National Provider Identifier
1457639130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 38546
- Practice address
- 26610 Ynez Rd
Temecula, CA 92591-4697 - Phone
- (951) 719-2002
- NPI assigned
- Jul 28, 2011
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 38546 | CT | Primary |
Addresses
Primary practice location
26610 Ynez Rd
Temecula, CA 92591-4697
Mailing address
26610 Ynez Rd
Temecula, CA 92591-4697
Phone (951) 719-2002
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38546 | CT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311811200000",
"number": "1457639130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26610 YNEZ RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914697",
"telephone_number": "951-719-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26610 YNEZ RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914697",
"telephone_number": "951-719-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "MARY",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2011-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CT",
"license": "38546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
- Daniel Domin, MD
- Klarita Dominguez
- Candice Loren Domondon
- Allison Aiko Donahoe-Beggs, LCSW
- Donald Woo Lee, M.D., a Professional Corporation
- Kaitlin Marie Donnelly
- Lupe Donnelly, NP
- Donny R. Broyles, O.D. a Pcorp (Redhawk Vision Center of Optometry)
- Josefina De Los Angeles Donoso
- McKenna Paige Dooley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.