Active NPI
Alicia Roker
- Pharmacist
- San Pedro, CA
National Provider Identifier
1720438526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62292
- Practice address
- 950 N Western Ave
San Pedro, CA 90732-2427 - Phone
- (310) 832-7258
- NPI assigned
- Jun 13, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 62292 | CA | Primary |
| Pharmacist | 183500000X | PS43706 | FL |
Addresses
Primary practice location
950 N Western Ave
San Pedro, CA 90732-2427
Mailing address
950 N Western Ave
San Pedro, CA 90732-2427
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62292 | CA | MD | Pharmacist |
| PS43706 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1720438526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N WESTERN AVE",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907322427",
"telephone_number": "310-832-7258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROKER",
"first_name": "ALICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62292",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS43706",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.