Dino Reginald De Ranieri, BPHARM
Individual provider Active NPI Pharmacist · Millbrae, CA
NPI 1710070404 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710070404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH 22939 (CA)
- Practice address
- 911 Crestview Drive
Millbrae, CA 94030-1510 - Phone
- (650) 589-9573
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 22939 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 22939 | CA | Yes |
Addresses
Primary practice location
911 Crestview Drive
Millbrae, CA 94030-1510
Mailing address
911 Crestview Drive
Millbrae, CA 94030-1510
Phone (650) 589-9573
Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.