Active NPI
Doris Marengo-Krolik
- Pharmacist
- Mission Viejo, CA
National Provider Identifier
1659941698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65119
- Practice address
- 26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384 - Phone
- (949) 364-9009
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 65119 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Pkwy
Mission Viejo, CA 92691-6384
Mailing address
26800 Crown Valley Pkwy Ste 185
Mission Viejo, CA 92691-7304
Phone (949) 364-9009
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1659941698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY STE 185",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926917304",
"telephone_number": "949-364-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PKWY",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916384",
"telephone_number": "949-364-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARENGO-KROLIK",
"first_name": "DORIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.