Individual provider Active NPI

Emily Reginato, PHARM.D.

  • Pharmacist
  • San Jose, CA
National Provider Identifier
1750706271
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
70024 Issued in CA
Practice address
1757 W San Carlos St
San Jose, CA 95128-5222
Phone
(408) 878-0112
Fax
(408) 878-0113
NPI assigned
Feb 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70024 CA Primary

Addresses

Primary practice location

1757 W San Carlos St
San Jose, CA 95128-5222

Mailing address

1757 W San Carlos St
San Jose, CA 95128-5222
Phone (408) 878-0112

Other names 1

  • Emily Paine Former name

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

LicenseStateTypeSpecialty
70024CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jun 21, 2022 Accepting new patients
Walgreen Co Past Accepting new patients
Walgreen Co PastSince Jan 3, 2021 Accepting new patients

Locations

1757 W San Carlos St
San Jose, CA 95128
Phone (408) 878-0112

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1750706271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 W SAN CARLOS ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285222",
            "telephone_number": "408-878-0112",
            "fax_number": "408-878-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 W SAN CARLOS ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951285222",
            "telephone_number": "408-878-0112",
            "fax_number": "408-878-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGINATO",
        "first_name": "EMILY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-19",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "PAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.