John William McElmoyl, PHARM D
Individual provider Active NPI Pharmacist · Greenfield, CA
NPI 1912915570 · NPPES record last updated Dec 17, 2007
Key facts
- NPI
- 1912915570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 45476 (CA)
- Practice address
- 333 El Camino Real
Greenfield, CA 93927 - Phone
- (831) 674-5949
- Fax
- (831) 674-2955
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45476 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenfield Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45476 | CA | Yes |
Addresses
Primary practice location
333 El Camino Real
Greenfield, CA 93927
Mailing address
PO Box 305
333 El Camino Real
Greenfield, CA 93927
Phone (831) 674-5949
Other providers in Greenfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.