Individual provider Active NPI

Anastasia Marie Breshears, CPHT

  • Pharmacy Technician
  • Carmichael, CA
National Provider Identifier
1568084838
Registry record updated May 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
141705 Issued in CA
Practice address
4005 Manzanita Ave
Carmichael, CA 95608-1770
Phone
(916) 483-2695
Fax
(916) 483-4158
NPI assigned
May 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 141705 CA Primary

Addresses

Primary practice location

4005 Manzanita Ave
Carmichael, CA 95608-1770

Mailing address

5020 Bowman Oaks Way
Carmichael, CA 95608-3132
Phone (916) 289-8820

Other names 1

  • Anastasia Marie Canterbury Other name

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

State licenses

LicenseStateTypeSpecialty
141705CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Air Market Inc PastSince May 17, 2020 Accepting new patients

Organizations & group practices 1

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": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589068800000",
    "number": "1568084838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 BOWMAN OAKS WAY",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956083132",
            "telephone_number": "916-289-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 MANZANITA AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081770",
            "telephone_number": "916-483-2695",
            "fax_number": "916-483-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESHEARS",
        "first_name": "ANASTASIA",
        "middle_name": "MARIE",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-10",
        "last_updated": "2020-05-10",
        "certification_date": "2020-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "141705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANASTASIA",
            "last_name": "CANTERBURY",
            "middle_name": "MARIE",
            "credential": "CPHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carmichael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2020; 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.