Marisa Christina McCoy
Individual provider Active NPI Pharmacy Technician · Desert Hot Springs, CA
NPI 1508569476 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1508569476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- TCH83841 (CA)
- Practice address
- 12900 Palm Dr
Desert Hot Springs, CA 92240-4567 - Phone
- (760) 905-3055
- NPI assigned
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| TCH83841 | CA | MD | Pharmacy Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH83841 | CA | Yes |
Addresses
Primary practice location
12900 Palm Dr
Desert Hot Springs, CA 92240-4567
Mailing address
17989 Corkill Rd SPC 300
Desert Hot Springs, CA 92241-9441
Phone (760) 905-3055
Other providers in Desert Hot Springs, CA
- Pamela Mathis
- Timothy T Mathis
- Barry Mayron
- Denise Lynn McClintock-Hughes
- Joel Todd McCoy
- Tina McCoy
- Michael Scott McCullough
- Gregory L McFarland
- Jeffrey McFarlin
- Meghan Marie McIntyre
All providers in Desert Hot Springs, 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 22, 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.