Individual provider Active NPI

Paul Villamizar, PHARMD

  • Pharmacist
  • Benicia, CA
National Provider Identifier
1548654692
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
68559 Issued in CA
Practice address
900 Cambridge Drive Unit 11
Benicia, CA 94510
Phone
(561) 310-4049
NPI assigned
Mar 26, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 68559 CA Primary

Addresses

Primary practice location

900 Cambridge Drive Unit 11
Benicia, CA 94510

Mailing address

900 Cambridge Dr Unit 11
Benicia, CA 94510-3625
Phone (561) 310-4049

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

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1548654692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CAMBRIDGE DR UNIT 11",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103625",
            "telephone_number": "561-310-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CAMBRIDGE DRIVE UNIT 11",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "94510",
            "telephone_number": "561-310-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIZAR",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "68559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.