Active NPI
Claire Bansil, PHARMD
- Pharmacist
- Scotts Valley, CA
National Provider Identifier
1891416566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70055
- Practice address
- 210 Mount Hermon Rd
Scotts Valley, CA 95066-4009 - Phone
- (831) 430-9113
- NPI assigned
- Sep 9, 2022
- Last updated
- Mar 22, 2023
- 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 | 183500000X | 70055 | CA | Primary |
Addresses
Primary practice location
210 Mount Hermon Rd
Scotts Valley, CA 95066-4009
Mailing address
17790 Kiowa TRL
Los Gatos, CA 95033-8880
Phone (530) 277-6188
Other practice location 1
1718 Soquel Ave
Santa Cruz, CA 95062-1306
Phone (831) 425-3911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70055 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY - PHARMACIST LICENSE |
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 |
|---|---|---|---|
| 70055 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 5
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": "1662681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1891416566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17790 KIOWA TRL",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950338880",
"telephone_number": "530-277-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MOUNT HERMON RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664009",
"telephone_number": "831-430-9113"
}
],
"practiceLocations": [
{
"address_1": "1718 Soquel Ave",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950621306",
"country_code": "US",
"telephone_number": "831-425-3911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANSIL",
"first_name": "CLAIRE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-09",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE BOARD OF PHARMACY - PHARMACIST LICENSE",
"identifier": "70055",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.