Individual provider Active NPI

Jessica Nicole Ramos

  • Pharmacy Technician
  • Santa Maria, CA
National Provider Identifier
1801486352
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
77139 Issued in CA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
77139CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Tree Pharmacy Services Incorporated CurrentSince Dec 15, 2024 Accepting new patients
Hometown LTC Pharmacy Inc PastSince Jan 24, 2021 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.

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.

Verify at the official NPI Registry.