Individual provider Active NPI

Mark William Pregenzer, PHARM.D.

  • Pharmacist
  • Los Angeles, CA
National Provider Identifier
1851660690
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH 59690 Issued in CA
Practice address
757 Westwood PLZ
Room B524
Los Angeles, CA 90095-7423
Phone
(310) 267-8522
Fax
(310) 267-3652
NPI assigned
Dec 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH 59690 CA Primary

Addresses

Primary practice location

757 Westwood PLZ
Room B524
Los Angeles, CA 90095-7423

Mailing address

757 Westwood PLZ
Room B524
Los Angeles, CA 90095-7423
Phone (310) 267-8522

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH 59690CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1324598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1851660690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "ROOM B524",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957423",
            "telephone_number": "310-267-8522",
            "fax_number": "310-267-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 WESTWOOD PLZ",
            "address_2": "ROOM B524",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900957423",
            "telephone_number": "310-267-8522",
            "fax_number": "310-267-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREGENZER",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-23",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 59690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.

Verify at the official NPI Registry.