Individual provider Active NPI

Rogelio Arjona Jr., PHARMACY TECHNICIAN

  • Pharmacy Technician
  • San Diego, CA
National Provider Identifier
1508135807
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
92482 Issued in CA
Practice address
4240 Menlo Ave Unit 22
San Diego, CA 92115-4862
Phone
(619) 723-2028
NPI assigned
Dec 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 92482 CA Primary

Addresses

Primary practice location

4240 Menlo Ave Unit 22
San Diego, CA 92115-4862

Mailing address

4240 Menlo Ave Unit 22
San Diego, CA 92115-4862

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

LicenseStateTypeSpecialty
92482CAMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1508135807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 MENLO AVE UNIT 22",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 MENLO AVE UNIT 22",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154862",
            "telephone_number": "619-723-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARJONA",
        "first_name": "ROGELIO",
        "name_suffix": "Jr.",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "92482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.