Salvatore Phillip Tarantino, R.PH.
Individual provider Active NPI Pharmacist · Acton, CA
NPI 1831465673 · NPPES record last updated Mar 27, 2012
Key facts
- NPI
- 1831465673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 47828 (CA)
- Practice address
- 3720 West Sierra Highway Unit G
Acton, CA 93510 - Phone
- (661) 269-9500
- NPI assigned
- Mar 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47828 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crown Valley Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47828 | CA | Yes |
Addresses
Primary practice location
3720 West Sierra Highway Unit G
Acton, CA 93510
Mailing address
2010 Shadow Canyon Rd
Acton, CA 93510
Phone (661) 400-7034
Other providers in Acton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.