Individual provider Active NPI

Shaun Marvin Gutierrez Manuel, PHARM.D.

  • Pharmacist
  • Salinas, CA
National Provider Identifier
1770113342
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
78451 Issued in CA
Practice address
602 Williams Rd
Salinas, CA 93905-1927
Phone
(831) 784-1606
NPI assigned
Jan 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 78451 CA Primary

Addresses

Primary practice location

602 Williams Rd
Salinas, CA 93905-1927

Mailing address

1535 Saguaro Dr
Salinas, CA 93905-4479
Phone (510) 432-5825

Other practice location 1

1535 Saguaro Dr
Salinas, CA 93905-4479
Phone (510) 432-5825

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc PastSince Jan 26, 2020 Accepting new patients
Thrifty Payless Inc PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1770113342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 SAGUARO DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939054479",
            "telephone_number": "510-432-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 WILLIAMS RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939051927",
            "telephone_number": "831-784-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Saguaro Dr",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939054479",
            "country_code": "US",
            "telephone_number": "510-432-5825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "SHAUN MARVIN",
        "middle_name": "GUTIERREZ",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.