Active NPI
Taryn Nicole Congiardo, PHARM D.
- Pharmacist
- Corona, CA
National Provider Identifier
1508238999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67678
- Practice address
- 1322 W 6TH St
Corona, CA 92882-3167 - Phone
- (951) 817-8636
- Fax
- (951) 817-8629
- NPI assigned
- Oct 23, 2015
- Last updated
- Oct 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 67678 | CA | Primary |
Addresses
Primary practice location
1322 W 6TH St
Corona, CA 92882-3167
Mailing address
1322 W 6TH St
Corona, CA 92882-3167
Phone (951) 817-8636
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
| License | State | Type | Specialty |
|---|---|---|---|
| 67678 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1508238999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1322 W 6TH ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928823167",
"telephone_number": "951-817-8636",
"fax_number": "951-817-8629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1322 W 6TH ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928823167",
"telephone_number": "951-817-8636",
"fax_number": "951-817-8629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGIARDO",
"first_name": "TARYN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-23",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67678",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
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- Emileigh A Conaway
- Justin Scott Conaway
- Aileen Caga Concemino, RN
- Somaya Y Conley
- Connect Hearing, Inc.
- Michael Isaac Conrad
- Consumerhealth, Inc. (Newport Dental - Eastvale (ORTHO))
- Consumerhealth, Inc. (Newport Dental Ortho- Eastvale)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.