NPIMap

Individual provider Active NPI

Minerva Manozca Peralta, RPH

  • Pharmacist
  • Union City, CA
National Provider Identifier
1588966006
Registry record updated Dec 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 44019 Issued in CA
Practice address
1790 Decoto Rd
Union City, CA 94587-3524
Phone
(510) 429-9093
NPI assigned
Dec 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 44019 CA Primary

Addresses

Primary practice location

1790 Decoto Rd
Union City, CA 94587-3524

Mailing address

1790 Decoto Rd
Union City, CA 94587-3524
Phone (510) 429-9093

Other names 1

  • Minerva Manozca Peralta Professional 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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH 44019CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Organizations & group practices 2

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": "1291420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291420800000",
    "number": "1588966006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 DECOTO RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873524",
            "telephone_number": "510-429-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 DECOTO RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873524",
            "telephone_number": "510-429-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "MINERVA",
        "middle_name": "MANOZCA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-04",
        "last_updated": "2010-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 44019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINERVA",
            "last_name": "PERALTA",
            "middle_name": "MANOZCA",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; 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.