Eboni Marini Terrance, PHARMD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

61970 Issued in CA

Practice address

220 Sylvania Ave
Santa Cruz, CA 95060-2161

Phone

(831) 469-0366

Fax

(831) 469-0281

NPI assigned

Aug 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eboni Marini Norman-Terrance Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1922526862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SYLVANIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95060",
            "telephone_number": "831-469-0366",
            "fax_number": "831-469-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SYLVANIA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602161",
            "telephone_number": "831-469-0366",
            "fax_number": "831-469-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANCE",
        "first_name": "EBONI",
        "middle_name": "MARINI",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "61970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONI",
            "last_name": "NORMAN-TERRANCE",
            "middle_name": "MARINI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susie Tellez
• Amanda Telling, RN
• PO Teng
• Tara Teresa Tenney, MD
• Michelle Terra
• Jasmine Leigh Terranova
• Michael Terranova, RN
• Monica Terrazas
• Ellen Bennett Terry
• Kelly Terry, ASW

• Community/Retail Pharmacy in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.