Active NPI
Beverly Yvonne Hyatt, RPH
- Pharmacist
- Santa Ana, CA
National Provider Identifier
1629118682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46054
- Practice address
- 801 N. Tustin
(Pharmacy)
Santa Ana, CA 92705 - Phone
- (714) 547-3949
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46054 | CA | Primary |
Addresses
Primary practice location
801 N. Tustin
(Pharmacy)
Santa Ana, CA 92705
Mailing address
13291 Edinburgh Dr
Westminster, CA 92683-1729
Phone (714) 892-4557
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46054 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629118682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13291 EDINBURGH DR",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926831729",
"telephone_number": "714-892-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 N. TUSTIN",
"address_2": "(PHARMACY)",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "92705",
"telephone_number": "714-547-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "BEVERLY",
"middle_name": "YVONNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "46054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.