Active NPI
Marc Theodore Soriano
- Pharmacist
- Brawley, CA
National Provider Identifier
1952811374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77294
- Practice address
- 405 W Main St
Brawley, CA 92227-2244 - Phone
- (760) 344-5732
- NPI assigned
- Oct 11, 2017
- Sex
- Male
- Sole proprietor
- No
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 | 77294 | CA | Primary |
Addresses
Primary practice location
405 W Main St
Brawley, CA 92227-2244
Mailing address
26895 Aliso Creek Rd # B895
Aliso Viejo, CA 92656-5301
Phone (949) 243-6302
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 |
|---|---|---|---|
| 77294 | CA | MD | Pharmacist |
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
- Brawley, CA
- NPI 1588686497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507766400000",
"number": "1952811374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26895 ALISO CREEK RD # B895",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926565301",
"telephone_number": "949-243-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W MAIN ST",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922272244",
"telephone_number": "760-344-5732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO",
"first_name": "MARC",
"middle_name": "THEODORE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.