KENIA YULISSA MEDINA MORENO
NPI 1003697756
Pharmacist in Modesto, CA

Active since October 09, 2023
1441 FLORIDA AVE, MODESTO, CA 95350(209) 576-3622 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenia Yulissa Medina Moreno NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENIA YULISSA MEDINA MORENO (NPI 1003697756) is an individual pharmacist in Modesto, California, licensed in California (88481) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1003697756
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKENIA YULISSA MEDINA MORENO
Location Address1441 FLORIDA AVEModesto, CA 95350-4404
Mailing Address2237 Mcallister LnRiverbank, CA 95367-2673
Sole ProprietorNo
Enumeration DateOctober 9, 2023
NPPES CertifiedOctober 9, 2023
NPI 1003697756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 88481
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1441 FLORIDA AVE, Modesto, CA 95350

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Pharmacy Technician
1441 FLORIDA AVE
MODESTO, CA 95350
Family Medicine
1441 FLORIDA AVE
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1441 FLORIDA AVE
MODESTO, CA 95350
Anesthesiology
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Registered Nurse
1441 FLORIDA AVE
MODESTO, CA 95350
Physician Assistant
1441 FLORIDA AVE
MODESTO, CA 95350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenia Medina Moreno's NPI number?

The NPI number for Kenia Medina Moreno is 1003697756. It was assigned to this individual provider in the NPPES registry on October 9, 2023.

Where is Kenia Medina Moreno located?

Kenia Medina Moreno practices at 1441 Florida Ave, Modesto, CA 95350. The listed phone number is (209) 576-3622.

What is Kenia Medina Moreno's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kenia Medina Moreno was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.