Individual provider Active NPI

Rosemary Mutindi Mutunga

  • Pharmacist
  • Windsor, CA
National Provider Identifier
1629557749
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
73813 Issued in CA
Practice address
6650 Hembree LN
Windsor, CA 95492-9739
Phone
(707) 836-7300
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 73813 CA Primary

Addresses

Primary practice location

6650 Hembree LN
Windsor, CA 95492-9739

Mailing address

6650 Hembree LN
Windsor, CA 95492-9739
Phone (707) 836-7300

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
73813CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1629557749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 HEMBREE LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929739",
            "telephone_number": "707-836-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 HEMBREE LN",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "954929739",
            "telephone_number": "707-836-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTUNGA",
        "first_name": "ROSEMARY",
        "middle_name": "MUTINDI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.