Active NPI
Jessica Nicole Ramos
- Pharmacy Technician
- Santa Maria, CA
National Provider Identifier
1801486352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 77139
- Practice address
- 1450 W McCoy LN Ste B
Santa Maria, CA 93455-1059 - Phone
- (805) 928-2200
- Fax
- (805) 928-6200
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 77139 | CA | Primary |
Addresses
Primary practice location
1450 W McCoy LN Ste B
Santa Maria, CA 93455-1059
Mailing address
4470 Birch St
Guadalupe, CA 93434-1604
Phone (805) 304-9495
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77139 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Tree Pharmacy Services Incorporated | Current | Accepting new patients | |
| Hometown LTC Pharmacy Inc | Past | Accepting new patients |
Locations
1450 W McCoy Ln
Ste B
Santa Maria, CA 93455
Phone (805) 748-4440
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Life Tree Pharmacy
- Long Term Care Pharmacy
- Santa Maria, CA
- NPI 1538975909
-
dba Hometown LTC Pharmacy
- Long Term Care Pharmacy
- Santa Maria, CA
- NPI 1598108847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1801486352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4470 BIRCH ST",
"city": "GUADALUPE",
"state": "CA",
"postal_code": "934341604",
"telephone_number": "805-304-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 W MCCOY LN STE B",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934551059",
"telephone_number": "805-928-2200",
"fax_number": "805-928-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMOS",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "77139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.