Individual provider Active NPI

Angelika Marie Labador Ilagan

  • Pharmacist
  • Roseville, CA
National Provider Identifier
1992491872
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
190648 Issued in CA
Practice address
446 Roseville SQ
Roseville, CA 95678-2808
Phone
(916) 784-1590
Fax
(916) 784-1728
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 190648 CA Primary

Addresses

Primary practice location

446 Roseville SQ
Roseville, CA 95678-2808

Mailing address

446 Roseville SQ
Roseville, CA 95678-2808
Phone (916) 784-1590

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
190648CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1992491872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782808",
            "telephone_number": "916-784-1590",
            "fax_number": "916-784-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782808",
            "telephone_number": "916-784-1590",
            "fax_number": "916-784-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAGAN",
        "first_name": "ANGELIKA MARIE",
        "middle_name": "LABADOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "190648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.