Individual provider Active NPI

Glenn Richard Yamate, PHARM.D.

  • Pharmacist
  • Hesperia, CA
National Provider Identifier
1013204106
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28343 Issued in CA
Practice address
12795 Main St
Hesperia, CA 92345-9110
Phone
(760) 949-3064
Fax
(760) 949-3134
NPI assigned
Jul 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28343 CA Primary

Addresses

Primary practice location

12795 Main St
Hesperia, CA 92345-9110

Mailing address

14260 Gayhead Rd
Apple Valley, CA 92307-5797
Phone (760) 985-9503

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

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310083200000",
    "number": "1013204106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14260 GAYHEAD RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075797",
            "telephone_number": "760-985-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12795 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459110",
            "telephone_number": "760-949-3064",
            "fax_number": "760-949-3134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMATE",
        "first_name": "GLENN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "28343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.