Tatiana Maguia Ouabo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

82937 Issued in CA

Practice address

339 Georgia St
Vallejo, CA 94590-5906

Phone

(707) 644-2272

NPI assigned

Nov 5, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Capital City Pharmacy

  • Long Term Care Pharmacy
  • Vallejo, CA
  • NPI 1295533602
  NPD
• Capital City Pharmacy Inc

  • Community/Retail Pharmacy
  • Vallejo, CA
  • NPI 1689047441
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1811598808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3577 MALLARD WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 GEORGIA ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905906",
            "telephone_number": "707-644-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUABO",
        "first_name": "TATIANA",
        "middle_name": "MAGUIA",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.na.com",
            "affiliation": "N",
            "address_1": "339 Georgia St",
            "city": "Vallejo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945905906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Orynich, MD
• David F. Osborne, MD
• Nancy Phi Oshima, PHARM.D.
• Elizabeth Ostheimer
• Edgar Oteyza, MD
• Alexis Ousley, HEALTH EDUCATOR
• Dawnielle Owens Vargas, DPT
• Victoria Elizabeth Owens, RN, MSN, FNP
• Kar H. Own, MD
• Garrett R Oyama, M.S. CCC, SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.