Active NPI
Marlenis Aguilar
- Pharmacy Technician
- Culver City, CA
National Provider Identifier
1891485140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 49623
- Practice address
- 11096 Jefferson Blvd
Culver City, CA 90230-5520 - Phone
- (310) 397-3931
- Fax
- (310) 397-0381
- NPI assigned
- May 10, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 49623 | CA | Primary |
Addresses
Primary practice location
11096 Jefferson Blvd
Culver City, CA 90230-5520
Mailing address
4658 W Imperial Hwy Apt 4
Inglewood, CA 90304-2648
Phone (323) 602-7808
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 |
|---|---|---|---|
| 49623 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Culver City, CA
- NPI 1922117381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1891485140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4658 W IMPERIAL HWY APT 4",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903042648",
"telephone_number": "323-602-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11096 JEFFERSON BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902305520",
"telephone_number": "310-397-3931",
"fax_number": "310-397-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUILAR",
"first_name": "MARLENIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-10",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "49623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.