Active NPI
Daniel Llamas Perez
- Specialty Pharmacy
- Soledad, CA
National Provider Identifier
1871149484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- License
- 64983
- Practice address
- 2293 H Dela Rosa Sr St
Soledad, CA 93960-3382 - Phone
- (831) 678-5110
- Fax
- (831) 678-5105
- NPI assigned
- Aug 11, 2019
- Last updated
- Aug 11, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | 64983 | CA | Primary |
Addresses
Primary practice location
2293 H Dela Rosa Sr St
Soledad, CA 93960-3382
Mailing address
756 Bedford Dr
Salinas, CA 93901-1206
Phone (831) 295-1256
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 |
|---|---|---|---|
| 64983 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Specialty Pharmacy | Past | Accepting new patients |
| Longs Drug Stores California LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565481600000",
"number": "1871149484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "756 BEDFORD DR",
"city": "SALINAS",
"state": "CA",
"postal_code": "939011206",
"telephone_number": "831-295-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2293 H DELA ROSA SR ST",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603382",
"telephone_number": "831-678-5110",
"fax_number": "831-678-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "DANIEL",
"middle_name": "LLAMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-11",
"last_updated": "2019-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "CA",
"license": "64983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.