Individual provider Active NPI

Daniel Llamas Perez

  • Specialty Pharmacy
  • Soledad, CA
National Provider Identifier
1871149484
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
64983 Issued in CA
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
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
64983CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drug Stores California LLC PastSince Aug 18, 2019 Accepting new patients
Longs Drug Store California LLC Specialty Pharmacy PastSince Aug 18, 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": "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.

Verify at the official NPI Registry.