Jellane M Emeses

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

TCH35653 Issued in CA

Practice address

1605 S San Jacinto Ave
San Jacinto, CA 92583-5181

Phone

(951) 654-4734

Fax

(951) 654-9284

NPI assigned

Feb 25, 2022

Last updated

Feb 25, 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 1

Addresses

Electronic endpoints 1

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1730835984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24034 CROWNED PARTRIDGE LN",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624694",
            "telephone_number": "951-905-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835181",
            "telephone_number": "951-654-4734",
            "fax_number": "951-654-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMESES",
        "first_name": "JELLANE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH35653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jellanemaria.m.emeses@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Rite Aid Company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "1605 S San Jacinto Ave",
            "city": "San Jacinto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925835181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacy Technician in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.