Individual provider Active NPI

Theresa Anita Handojo, PHARM.D.

  • Pharmacist
  • Hacienda HTS, CA
National Provider Identifier
1790997740
Registry record updated Sep 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 49760 Issued in CA
Practice address
1943 Falstone Ave
Hacienda HTS, CA 91745-3503
Phone
(626) 272-0660
NPI assigned
May 3, 2007
Last updated
Sep 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 49760 CA Primary

Addresses

Primary practice location

1943 Falstone Ave
Hacienda HTS, CA 91745-3503

Mailing address

1943 Falstone Ave
Hacienda HTS, CA 91745-3503

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

LicenseStateTypeSpecialty
RPH 49760CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252281600000",
    "number": "1790997740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 FALSTONE AVE",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917453503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 FALSTONE AVE",
            "city": "HACIENDA HTS",
            "state": "CA",
            "postal_code": "917453503",
            "telephone_number": "626-272-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDOJO",
        "first_name": "THERESA",
        "middle_name": "ANITA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 49760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda HTS, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2009; 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.