Active NPI
Juli Peroutka
- Pharmacist
- Placerville, CA
National Provider Identifier
1477962934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47729
- Practice address
- 4300 Missouri Flat Rd
Placerville, CA 95667-6811 - Phone
- (530) 621-3447
- NPI assigned
- Aug 9, 2014
- Last updated
- Aug 9, 2014
- 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 | 47729 | CA | Primary |
Addresses
Primary practice location
4300 Missouri Flat Rd
Placerville, CA 95667-6811
Mailing address
2301 Talon Dr
Shingle Springs, CA 95682-9739
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47729 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407542400000",
"number": "1477962934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 TALON DR",
"city": "SHINGLE SPRINGS",
"state": "CA",
"postal_code": "956829739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 MISSOURI FLAT RD",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956676811",
"telephone_number": "530-621-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEROUTKA",
"first_name": "JULI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-09",
"last_updated": "2014-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "47729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.