Active NPI
Holli Renee Granados, PHARM.D.
- Pharmacist
- Temecula, CA
National Provider Identifier
1891176129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61437
- Practice address
- 30530 Rancho California Rd
Temecula, CA 92591-3277 - Phone
- (951) 694-0055
- Fax
- (951) 694-5645
- NPI assigned
- Jun 11, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 183500000X | 61437 | CA | Primary |
Addresses
Primary practice location
30530 Rancho California Rd
Temecula, CA 92591-3277
Mailing address
30530 Rancho California Rd
Temecula, CA 92591-3277
Phone (951) 694-0055
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61437 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434326400000",
"number": "1891176129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30530 RANCHO CALIFORNIA RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925913277",
"telephone_number": "951-694-0055",
"fax_number": "951-694-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30530 RANCHO CALIFORNIA RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925913277",
"telephone_number": "951-694-0055",
"fax_number": "951-694-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANADOS",
"first_name": "HOLLI",
"middle_name": "RENEE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-11",
"last_updated": "2015-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.