Individual provider Active NPI

Zenorina L Amezaga

  • Pharmacy Technician
  • Yuma, AZ
National Provider Identifier
1902470495
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T034976 Issued in AZ
Practice address
1462 S Pacific Ave
Yuma, AZ 85365-1733
Phone
(928) 783-6575
Fax
(928) 783-6728
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T034976 AZ Primary

Addresses

Primary practice location

1462 S Pacific Ave
Yuma, AZ 85365-1733

Mailing address

1462 S Pacific Ave
Yuma, AZ 85365-1733
Phone (928) 783-6575

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
T034976AZMDPharmacy Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1902470495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 S PACIFIC AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651733",
            "telephone_number": "928-783-6575",
            "fax_number": "928-783-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1462 S PACIFIC AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853651733",
            "telephone_number": "928-783-6575",
            "fax_number": "928-783-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEZAGA",
        "first_name": "ZENORINA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "AZ",
            "license": "T034976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.