Individual provider Active NPI

Sandra Lizeth Hernandez, CPHT

  • Pharmacy Technician
  • Bakersfield, CA
National Provider Identifier
1639946858
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
TCH178254 Issued in CA
Practice address
2110 Truxtun Ave # 100
Bakersfield, CA 93301-3703
Phone
(661) 327-7524
Fax
(661) 327-8793
NPI assigned
Dec 7, 2023
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X TCH178254 CA Primary

Addresses

Primary practice location

2110 Truxtun Ave # 100
Bakersfield, CA 93301-3703

Mailing address

2110 Truxtun Ave # 100
Bakersfield, CA 93301-3703
Phone (661) 327-7524

Other practice location 1

1017 Ellington St
Delano, CA 93215-2621
Phone (661) 725-9489

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
TCH178254CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Komoto Pharmacy, Inc. PastSince Dec 10, 2023 Accepting new patients
Komoto Pharmacy Inc. PastSince Dec 10, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1639946858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE # 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013703",
            "telephone_number": "661-327-7524",
            "fax_number": "661-327-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 TRUXTUN AVE # 100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933013703",
            "telephone_number": "661-327-7524",
            "fax_number": "661-327-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1017 Ellington St",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932152621",
            "country_code": "US",
            "telephone_number": "661-725-9489",
            "fax_number": "661-725-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "SANDRA",
        "middle_name": "LIZETH",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH178254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.