An Alvarez
Individual provider Active NPI Pharmacist · Newhall, CA
NPI 1861057382 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1861057382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 80196 (CA)
- Practice address
- 18806 Vista del Canon Unit F
Newhall, CA 91321-4500 - Phone
- (323) 397-9700
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80196 | CA | MD | Clinical Social Worker |
| 60314 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 60314 | TX | |
| Pharmacist | 183500000X | 80196 | CA | Yes |
Addresses
Primary practice location
18806 Vista del Canon Unit F
Newhall, CA 91321-4500
Mailing address
18806 Vista del Canon Unit F
Newhall, CA 91321-4500
Other providers in Newhall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. 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.