Active NPI
Aileen Docena Munoz, PHARM.D.
- Pharmacist
- Elk Grove, CA
National Provider Identifier
1659651693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 58768
- Practice address
- 4900 Elk Grove Blvd
Elk Grove, CA 95758-4188 - Phone
- (916) 683-0720
- Fax
- (916) 683-0763
- NPI assigned
- Aug 22, 2011
- 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 | 58768 | CA | Primary |
Addresses
Primary practice location
4900 Elk Grove Blvd
Elk Grove, CA 95758-4188
Mailing address
4900 Elk Grove Blvd
Elk Grove, CA 95758-4188
Phone (916) 683-0720
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58768 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1659651693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 ELK GROVE BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584188",
"telephone_number": "916-683-0720",
"fax_number": "916-683-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 ELK GROVE BLVD",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957584188",
"telephone_number": "916-683-0720",
"fax_number": "916-683-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "AILEEN",
"middle_name": "DOCENA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "58768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.