Active NPI
Emmanuel Ventura, PHARMD
- Pharmacist
- Ridgecrest, CA
National Provider Identifier
1760971022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78010
- Practice address
- 1109 N China Lake Blvd
Ridgecrest, CA 93555-3131 - Phone
- (760) 446-4141
- NPI assigned
- May 2, 2018
- Last updated
- Feb 28, 2022
- 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 | 78010 | CA | Primary |
Addresses
Primary practice location
1109 N China Lake Blvd
Ridgecrest, CA 93555-3131
Mailing address
1109 N China Lake Blvd
Ridgecrest, CA 93555-3131
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emmanuel.ventura@rrh.org |
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 |
|---|---|---|---|
| 78010 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Ridgecrest Regional Hospital | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Ridgecrest, CA
- NPI 1790811289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1760971022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 N CHINA LAKE BLVD",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 N CHINA LAKE BLVD",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553131",
"telephone_number": "760-446-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURA",
"first_name": "EMMANUEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-02",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78010",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emmanuel.ventura@rrh.org",
"affiliation": "N",
"address_1": "1109 N China Lake Blvd",
"city": "Ridgecrest",
"state": "CA",
"country_code": "US",
"postal_code": "935553131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.