Active NPI
Mariam Guirguis, PHARMD
- Pharmacist
- Berkeley, CA
National Provider Identifier
1790541209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89238
- Practice address
- 2655 Telegraph Ave
Berkeley, CA 94704-3323 - Phone
- (510) 549-9063
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- 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 | 89238 | CA | Primary |
Addresses
Primary practice location
2655 Telegraph Ave
Berkeley, CA 94704-3323
Mailing address
4424 Winterberry CT
Concord, CA 94521-4333
Phone (925) 330-8418
Other practice location 1
4424 Winterberry Ct
Concord, CA 94521-4333
Phone (925) 330-8418
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 |
|---|---|---|---|
| 89238 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1790541209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4424 WINTERBERRY CT",
"city": "CONCORD",
"state": "CA",
"postal_code": "945214333",
"telephone_number": "925-330-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947043323",
"telephone_number": "510-549-9063"
}
],
"practiceLocations": [
{
"address_1": "4424 Winterberry Ct",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "CA",
"postal_code": "945214333",
"country_code": "US",
"telephone_number": "925-330-8418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIRGUIS",
"first_name": "MARIAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.