Active NPI
Shaun Marvin Gutierrez Manuel, PHARM.D.
- Pharmacist
- Salinas, CA
National Provider Identifier
1770113342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78451
- 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
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 | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | 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.
-
- Community/Retail Pharmacy
- Salinas, CA
- NPI 1053420406
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
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.