Daniel Alexander Serritella, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

55817 Issued in CA

Practice address

2345 Fenton Pkwy
San Diego, CA 92108-4743

Phone

(619) 358-4008

Fax

(619) 358-4009

NPI assigned

Mar 17, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1861633059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 FENTON PKWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084743",
            "telephone_number": "619-358-4008",
            "fax_number": "619-358-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 FENTON PKWY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084743",
            "telephone_number": "619-358-4008",
            "fax_number": "619-358-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRITELLA",
        "first_name": "DANIEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "55817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renalyn Mae Lenon Serrano, ASW
• Ruth S Serrano
• Paulina Serrato Padilla
• Courtney Glyn Serrato
• Jesus Serrato
• Rachel Sersland
• Ashley Serven, MS, ATC
• Lory Servil
• Bryan Lara Servillon
• Karla Servillon

• Pharmacist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.