Active NPI
Epifania Montemayor Macaraeg
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1841569258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 58132
- Practice address
- 1634 E Highland Ave
San Bernardino, CA 92404-4616 - Phone
- (909) 882-2836
- NPI assigned
- Dec 14, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 58132 | CA | Primary |
Addresses
Primary practice location
1634 E Highland Ave
San Bernardino, CA 92404-4616
Mailing address
PO Box 654
Redlands, CA 92373-0221
Phone (909) 904-2288
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 |
|---|---|---|---|
| RPH 58132 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1841569258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 654",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730221",
"telephone_number": "909-904-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1634 E HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924044616",
"telephone_number": "909-882-2836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACARAEG",
"first_name": "EPIFANIA",
"middle_name": "MONTEMAYOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-14",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 58132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.