1851686471 NPI number — MRS. MEIGHAN BARTHOLOMEW MERONO PHARMD

Table of content: MRS. MEIGHAN BARTHOLOMEW MERONO PHARMD (NPI 1851686471)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851686471 NPI number — MRS. MEIGHAN BARTHOLOMEW MERONO PHARMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MERONO
Provider First Name:
MEIGHAN
Provider Middle Name:
BARTHOLOMEW
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHARMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARTHOLOMEW
Provider Other First Name:
MEIGHAN
Provider Other Middle Name:
FAIRLEIGH
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHARMD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851686471
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/22/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
990 AVENIDA VISTA HERMOSA
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN CLEMENTE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92673
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-456-8669
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
990 AVENIDA VISTA HERMOSA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN CLEMENTE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92673
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-456-8669
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  59655 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com