Active NPI
Kevin Wonoto, PHARMD
- Pharmacist
- Simi Valley, CA
National Provider Identifier
1730437518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55044
- Practice address
- 2660 Park Center Dr
Simi Valley, CA 93065-6207 - Phone
- (805) 578-3305
- NPI assigned
- Aug 27, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 55044 | CA | Primary |
Addresses
Primary practice location
2660 Park Center Dr
Simi Valley, CA 93065-6207
Mailing address
710 N Lincoln St
Burbank, CA 91506-1722
Other practice location 1
9115 White Oak Ave
Northridge, CA 91325-2334
Phone (818) 645-8361
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55044 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1730437518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N LINCOLN ST",
"city": "BURBANK",
"state": "CA",
"postal_code": "915061722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 PARK CENTER DR",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930656207",
"telephone_number": "805-578-3305"
}
],
"practiceLocations": [
{
"address_1": "9115 White Oak Ave",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913252334",
"country_code": "US",
"telephone_number": "818-645-8361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WONOTO",
"first_name": "KEVIN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.