Active NPI
Mary G Israel
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Antioch, CA
National Provider Identifier
1881970416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 46927
- Practice address
- 3416 Deer Valley Road
Antioch, CA 94509 - Phone
- (925) 978-8000
- NPI assigned
- Oct 27, 2011
- Last updated
- Oct 27, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 46927 | CA | Primary |
Addresses
Primary practice location
3416 Deer Valley Road
Antioch, CA 94509
Mailing address
3416 Deer Valley Road
Antioch, CA 94509
Phone (925) 978-8000
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 |
|---|---|---|---|
| 46927 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1319673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319673600000",
"number": "1881970416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3416 DEER VALLEY ROAD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-978-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3416 DEER VALLEY ROAD",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "94509",
"telephone_number": "925-978-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "MARY",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-27",
"last_updated": "2011-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "46927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
- Taylor Innes
- Inspiring You Ministries, Inc. (Inspiring You Counseling Center (IYCC))
- Inview Imaging Diagnostics Inc a Professional Medical Corporation
- Angela Irigoyen
- Al-Ameen Ishola
- John Sebastian Italia, PH.D.
- Rita Adora Iwuchukwu, NP
- Chinazom Iwuoha, FNP
- Brent Seiji Izu, MD
- J Cole Recovery Homes, Inc (Cole House)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.