Mary Joan Kristine R Diaz, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

62830 Issued in CA

Practice address

7024 Seville Ave Ste E
Huntington Park, CA 90255-4969

Phone

(323) 587-1200

Fax

(323) 587-1300

NPI assigned

Apr 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Pacific Coast RX LLC

  dba Rhone Pharmacy - Huntington Park

  • Community/Retail Pharmacy
  • Huntington Park, CA
  • NPI 1578795803
  NPD (past)
• Pacific Coast RX LLC

  dba Rhone Pharmacy- Huntington Park

  • Long Term Care Pharmacy
  • Huntington Park, CA
  • NPI 1720902620
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1508446204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 SEVILLE AVE STE E",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554969",
            "telephone_number": "323-587-1200",
            "fax_number": "323-587-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 SEVILLE AVE STE E",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554969",
            "telephone_number": "323-587-1200",
            "fax_number": "323-587-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MARY JOAN KRISTINE",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "62830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Zinberg DDS, Inc
• Beatriz Adriana Diaz-Villalobos
• Jessica Brittney Diaz
• Jose Diaz
• Maria Yaneth Diaz
• Veronica Diaz
• Kristina C Didio, REGISTERED DIETITIAN
• William Dimas
• Miguel Disarufino
• DMG Healthcare Inc

• Pharmacist in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.