Christin Brennan Cirillo, PHARM. D.

Individual provider Active NPI Pharmacist · American Canyon, CA

NPI 1972804292 · NPPES record last updated Nov 3, 2010

Key facts

NPI
1972804292
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH51965 (CA)
Practice address
103 W American Canyon Rd
American Canyon, CA 94503-1112
Phone
(707) 649-5160
Fax
(707) 649-5166
NPI assigned
Nov 3, 2010
Sex
Female
Sole proprietor
Yes

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.

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

LicenseStateTypeSpecialty
RPH51965CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH51965 CA Yes

Addresses

Primary practice location

103 W American Canyon Rd
American Canyon, CA 94503-1112

Mailing address

103 W American Canyon Rd
American Canyon, CA 94503-1112
Phone (707) 649-5160

Other providers in American Canyon, CA

All providers in American Canyon, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.