Individual provider Active NPI

Kandie Ann Rago, RPH

  • Pharmacist
  • Fremont, CA
National Provider Identifier
1023381647
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
65744 Issued in CA
Practice address
4020 Fremont Hub
Fremont, CA 94538-1322
Phone
(510) 791-9108
NPI assigned
Feb 13, 2012
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 65744 CA Primary

Addresses

Primary practice location

4020 Fremont Hub
Fremont, CA 94538-1322

Mailing address

6332 Jarvis Ave
Newark, CA 94560-1246
Phone (209) 322-5597

Other practice location 1

537 chenin blanc ave
escalon, CA 95320
Phone (209) 322-5597

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
65744CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1023381647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6332 JARVIS AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601246",
            "telephone_number": "209-322-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 FREMONT HUB",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381322",
            "telephone_number": "510-791-9108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 chenin blanc ave",
            "address_purpose": "LOCATION",
            "city": "escalon",
            "state": "CA",
            "postal_code": "95320",
            "country_code": "US",
            "telephone_number": "209-322-5597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGO",
        "first_name": "KANDIE ANN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "65744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.