Active NPI
Hyma P Gogineni, PHARM.D
- Pharmacist
- Loma Linda, CA
National Provider Identifier
1699945485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52129
- Practice address
- 11262 Campus Street
West Hall
Loma Linda, CA 92350 - Phone
- (909) 558-7818
- Fax
- (909) 558-0234
- NPI assigned
- Mar 7, 2008
- 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 | 52129 | CA | Primary |
Addresses
Primary practice location
11262 Campus Street
West Hall
Loma Linda, CA 92350
Mailing address
2376 Jean Marie Cir
Corona, CA 92882-6988
Phone (951) 898-1618
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1699945485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2376 JEAN MARIE CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928826988",
"telephone_number": "951-898-1618",
"fax_number": "909-558-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11262 CAMPUS STREET",
"address_2": "WEST HALL",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "92350",
"telephone_number": "909-558-7818",
"fax_number": "909-558-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGINENI",
"first_name": "HYMA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.