Active NPI
Masato Charles Sugeno, PHARMD
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1003267378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP449589
- Practice address
- 5501 Woodland Ave
Philadelphia, PA 19143-5607 - Phone
- (215) 729-3912
- NPI assigned
- Jun 28, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP449589 | PA | Primary |
| Pharmacist | 183500000X | A1-0004684 | DE |
Addresses
Primary practice location
5501 Woodland Ave
Philadelphia, PA 19143-5607
Mailing address
1228 S 46TH St
Philadelphia, PA 19143-3826
Phone (609) 902-1231
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0004684 | DE | MD | Pharmacist |
| RP449589 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1003267378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 S 46TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191433826",
"telephone_number": "609-902-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5501 WOODLAND AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191435607",
"telephone_number": "215-729-3912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGENO",
"first_name": "MASATO",
"middle_name": "CHARLES",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-28",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP449589",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0004684",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.