Individual provider Active NPI

Amelia Grace Gines Padilla, RPH

  • Pharmacist
  • Corona, CA
National Provider Identifier
1992752216
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH50321 Issued in CA
Practice address
823 S Main St
Ste. 102
Corona, CA 92882-3421
Phone
(951) 279-3125
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH50321 CA Primary

Addresses

Primary practice location

823 S Main St
Ste. 102
Corona, CA 92882-3421

Mailing address

823 S Main St
Ste. 102
Corona, CA 92882-3421
Phone (951) 279-3125

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH50321CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Pharmacy Incorporated CurrentSince Jul 17, 2022 Accepting new patients
Main Street Pharmacy Incorporated CurrentSince Jul 17, 2022 Accepting new patients

Locations

823 S Main St
Ste 102
Corona, CA 92882
Phone (951) 279-3125

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992752216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S MAIN ST",
            "address_2": "STE. 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823421",
            "telephone_number": "951-279-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S MAIN ST",
            "address_2": "STE. 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823421",
            "telephone_number": "951-279-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "AMELIA GRACE",
        "middle_name": "GINES",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH50321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.