Individual provider Active NPI

Ma Nina Bardago Raganas

  • Pharmacist
  • Eureka, CA
National Provider Identifier
1609157668
Registry record updated Sep 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65489 Issued in CA
Practice address
2525 Harris St
Eureka, CA 95503-4805
Phone
(707) 444-0518
NPI assigned
Sep 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65489 CA Primary

Addresses

Primary practice location

2525 Harris St
Eureka, CA 95503-4805

Mailing address

2525 Harris St
Eureka, CA 95503-4805
Phone (707) 444-0518

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

NPI Registry JSON

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

{
    "created_epoch": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315180800000",
    "number": "1609157668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034805",
            "telephone_number": "707-444-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034805",
            "telephone_number": "707-444-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGANAS",
        "first_name": "MA NINA",
        "middle_name": "BARDAGO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-05",
        "last_updated": "2011-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; 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.