Ruby Godoy, PHARMACY TECH
Individual provider Active NPI Pharmacy Technician · King City, CA
NPI 1508567348 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1508567348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 150528 (CA)
- Practice address
- 540 Canal St
King City, CA 93930-3446 - Phone
- (831) 385-0886
- Fax
- (831) 385-4680
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150528 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past |
Accepting new patients | |
| Thrifty Payless Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 150528 | CA | Yes |
Addresses
Primary practice location
540 Canal St
King City, CA 93930-3446
Mailing address
492 Clifton CT
Greenfield, CA 93927-4824
Phone (831) 261-8619
Other providers in King City, CA
- Tammy Lynn Fuller
- Gallardo Network LLC
- Marissa Cynthia Garza
- Verenis Gasca
- Marie Samir Girguis
- Carina Gonzales
- Irma Gonzalez Cisneros
- Juan M Gonzalez
- Blanca Grado
- George Christopher Graveline
All providers in King City, CA · Pharmacy Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.