Nicolette Vicente Santos

Primary specialty

PharmacistTaxonomy code 183500000X

License

76540 Issued in CA

Practice address

150 Beach Rd
Marina, CA 93933-2513

Phone

(831) 883-9920

Fax

(831) 883-9942

NPI assigned

Jul 7, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walmart Inc.

  dba Walmart Pharmacy 10-4488

  • Community/Retail Pharmacy
  • Marina, CA
  • NPI 1427147016
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720500135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BEACH RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939332513",
            "telephone_number": "831-883-9920",
            "fax_number": "831-883-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BEACH RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939332513",
            "telephone_number": "831-883-9920",
            "fax_number": "831-883-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "NICOLETTE",
        "middle_name": "VICENTE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76540",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "150367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Medellin Sanchez, RCP
• Adrienne Sandoval II
• Lizbette Santana
• Cody Santiago
• Rogelio Ismael Santiago
• Sasha Geisler Physical Therapist, Inc. (Monterey Mobile Physical Therapy)
• Derrick Lamar Satchell Jr.
• Jack Robert Sawyer
• Breyane Shawneen Scales
• James Anthony Scaramozzino, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.