Individual provider Active NPI

Anna Marie Co Monis

  • Pharmacist
  • Cerritos, CA
National Provider Identifier
1578077913
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
58070 Issued in CA
Practice address
17100 Norwalk Blvd Ste 108
Cerritos, CA 90703-2750
Phone
(562) 210-8215
NPI assigned
Nov 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58070 CA Primary

Addresses

Primary practice location

17100 Norwalk Blvd Ste 108
Cerritos, CA 90703-2750

Mailing address

11562 Dartmouth Dr
Norwalk, CA 90650-6946
Phone (562) 405-6760

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
58070CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medshop Pharmacy, Inc. Current Accepting new patients

Locations

17100 Norwalk Blvd
Ste 108
Cerritos, CA 90703
Phone (562) 210-8215

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": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1578077913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11562 DARTMOUTH DR",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906506946",
            "telephone_number": "562-405-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 NORWALK BLVD STE 108",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907032750",
            "telephone_number": "562-210-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONIS",
        "first_name": "ANNA MARIE",
        "middle_name": "CO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "58070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.