Myra Magtibay Fajilan

Primary specialty

PharmacistTaxonomy code 183500000X

License

65125 Issued in CA

Practice address

8368 Elk Grove Florin Rd
Sacramento, CA 95829-9228

Phone

(916) 681-3558

Fax

(916) 681-2893

NPI assigned

Jul 15, 2011

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

State licenses

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1710275300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 SAGE THRASHER CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578125",
            "telephone_number": "530-550-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8368 ELK GROVE FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958299228",
            "telephone_number": "916-681-3558",
            "fax_number": "916-681-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJILAN",
        "first_name": "MYRA",
        "middle_name": "MAGTIBAY",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Dominick Fajardo
• Emmaneul Turbanada Fajardo Jr., P.T.
• Evelyn Karyna Fajardo, RBT
• Rafael Fajardo
• Sammantha Fajardo, MA, BCBA
• Arman Fakharian
• Fariborz David Fakhri, D.O.
• Hiba Fakhri, MD
• Kaitlyn Elizabeth Fakouri, FNP-C
• Troy M. Falck, MD

• Pharmacist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.