Active NPI
Chris Koshy Nebu
- Pharmacist
- Sacramento, CA
National Provider Identifier
1013782952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 88422
- Practice address
- 1020 29TH St Ste 140
Sacramento, CA 95816-5173 - Phone
- (916) 738-3300
- NPI assigned
- Nov 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 88422 | CA | Primary |
Addresses
Primary practice location
1020 29TH St Ste 140
Sacramento, CA 95816-5173
Mailing address
2204 Heger Way
Elk Grove, CA 95758-7121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88422 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1013782952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 HEGER WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 29TH ST STE 140",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165173",
"telephone_number": "916-738-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSHY NEBU",
"first_name": "CHRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "88422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.