Individual provider Active NPI

Shayna Merwin, PHARMACY TECHNICIAN

  • Pharmacy Technician
  • Costa Mesa, CA
National Provider Identifier
1679202949
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
Practice address
2300 Harbor Blvd
Costa Mesa, CA 92626-6250
Phone
(949) 645-7331
Fax
(949) 645-7214
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 Primary

Addresses

Primary practice location

2300 Harbor Blvd
Costa Mesa, CA 92626-6250

Mailing address

2300 Harbor Blvd
Costa Mesa, CA 92626-6250
Phone (949) 645-7331

Other names 1

  • Shayna McDannold Former name

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": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1679202949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266250",
            "telephone_number": "949-645-7331",
            "fax_number": "949-645-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HARBOR BLVD",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266250",
            "telephone_number": "949-645-7331",
            "fax_number": "949-645-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERWIN",
        "first_name": "SHAYNA",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNA",
            "last_name": "MCDANNOLD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.