Individual provider Active NPI

Taryn Nicole Congiardo, PHARM D.

  • Pharmacist
  • Corona, CA
National Provider Identifier
1508238999
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
67678 Issued in CA
Practice address
1322 W 6TH St
Corona, CA 92882-3167
Phone
(951) 817-8636
Fax
(951) 817-8629
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Beach CVS LLC PastSince Feb 7, 2021 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 and National Provider Directory roles.

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

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.

Verify at the official NPI Registry.