Marisa Nicole Konefal, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH71162 Issued in CA

Practice address

430 Broadway St # L011102
Redwood City, CA 94063-3132

Phone

(650) 724-6076

NPI assigned

Nov 26, 2013

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1659701761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4014 CORNWALL CT",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773247",
            "telephone_number": "415-606-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BROADWAY ST # L011102",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940633132",
            "telephone_number": "650-724-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONEFAL",
        "first_name": "MARISA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-26",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH71162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Litiana Koloamatangi
• Marina Paamecarole Koloamatangi
• Steven George Kolokithas, D.D.S.
• Taunuuga Kome
• Sanayo Sage Kondo, P.T.
• Louise Joan Korn, PHYSICAL THERAPIST
• Harold W. Korol, MD
• Lauren Korshak
• Emily Elizabeth Koth
• Revathi Kothandapani, DDS

• Pharmacist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.