Sylvester I Anaje
Individual provider Active NPI Pharmacist · Ukiah, CA
NPI 1033452149 · NPPES record last updated Mar 27, 2013
Key facts
- NPI
- 1033452149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 68685 (CA)
- Practice address
- 653 S State St
Ukiah, CA 95482-4912 - Phone
- (707) 467-2712
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68685 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 68685 | CA | Yes |
Addresses
Primary practice location
653 S State St
Ukiah, CA 95482-4912
Mailing address
653 S State Street
Ukiah, CA 95482
Phone (707) 467-2712
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.