Angeli Adhvaryu
Individual provider Active NPI Pharmacist · Irvine, CA
NPI 1588043715 · NPPES record last updated May 20, 2015
Key facts
- NPI
- 1588043715
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 42502 (CA)
- Practice address
- 6300 Irvine Blvd
Irvine, CA 92620-2102 - Phone
- (949) 559-1739
- Fax
- (949) 559-1776
- NPI assigned
- May 20, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 42502 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralphs Grocery Company | Past | Accepting new patients | |
| Ralphs Grocery Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42502 | CA | Yes |
Addresses
Primary practice location
6300 Irvine Blvd
Irvine, CA 92620-2102
Mailing address
6300 Irvine Blvd
Irvine, CA 92620-2102
Phone (949) 559-1739
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2015. 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.