Individual provider Active NPI

Carmella Cabanero, RPH

  • Pharmacist
  • Bakersfield, CA
National Provider Identifier
1861037178
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
80452 Issued in CA
Practice address
3315 S H St
Bakersfield, CA 93304-6533
Phone
(661) 396-0634
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 80452 CA Primary

Addresses

Primary practice location

3315 S H St
Bakersfield, CA 93304-6533

Mailing address

1200 Henderson Ave Apt 4
Sunnyvale, CA 94086-9130
Phone (901) 490-5119

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
80452CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Nov 17, 2019 Accepting new patients
Walgreen Co PastSince Nov 17, 2019 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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1861037178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HENDERSON AVE APT 4",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940869130",
            "telephone_number": "901-490-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S H ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933046533",
            "telephone_number": "661-396-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANERO",
        "first_name": "CARMELLA",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "80452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.