Individual provider Active NPI

William Walter Streck, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sacramento, CA
National Provider Identifier
1023405966
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
70337 Issued in CA
Practice address
2890 Gateway Oaks Dr Ste 110
Sacramento, CA 95833-4326
Phone
(888) 833-4566
NPI assigned
Apr 17, 2015
Last updated
Apr 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 70337 CA
Geriatric Pharmacist 1835G0303X 70337 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 70337 CA Primary
Pharmacotherapy Pharmacist 1835P1200X 70337 CA

Addresses

Primary practice location

2890 Gateway Oaks Dr Ste 110
Sacramento, CA 95833-4326

Mailing address

2890 Gateway Oaks Dr Ste 110
Sacramento, CA 95833-4326
Phone (888) 833-4566

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

LicenseStateTypeSpecialty
70337CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1023405966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890 GATEWAY OAKS DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334326",
            "telephone_number": "888-833-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890 GATEWAY OAKS DR STE 110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958334326",
            "telephone_number": "888-833-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRECK",
        "first_name": "WILLIAM",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "70337",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "70337",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "70337",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "70337",
            "primary": false
        }
    ],
    "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 Apr 17, 2015; 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.