Hermelinda Avila Mendez

Primary specialty

PharmacistTaxonomy code 183500000X

License

86107 Issued in CA

Practice address

201 W Napa St # 35
Sonoma, CA 95476-6643

Phone

(707) 938-4734

NPI assigned

Sep 19, 2022

Last updated

Sep 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Longs Drug Store California LLC

  dba Longs Drugs #10987

  • Pharmacy
  • Kapolei, HI
  • NPI 1700565793
  NPD (past)

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1780306597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W NAPA ST # 35",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766643",
            "telephone_number": "707-938-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W NAPA ST # 35",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766643",
            "telephone_number": "707-938-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA MENDEZ",
        "first_name": "HERMELINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "86107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arc Therapy Services, LLC (Brookdale Home Health)
• Robert Arguelles
• Rebekka Anne Armstrong, PTA
• Carrie Atkinson, LAADC, LMFT
• Audrey Kang DDS Dental Corporation
• Kyle Everett Baird, MPT
• Penny S Barron, C.C.C.-A.
• Michael R. Bartos, M.D.
• Michael P Basta, MSW
• Anne Bearheart

• Pharmacist in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.