Active NPI
Nathaniel Calloway II
- Pharmacist
- Emeryville, CA
National Provider Identifier
1073249793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 85794
- Practice address
- 3889 San Pablo Ave
Emeryville, CA 94608-3808 - Phone
- (510) 768-1034
- NPI assigned
- Jul 26, 2022
- 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 | 85794 | CA | Primary |
Addresses
Primary practice location
3889 San Pablo Ave
Emeryville, CA 94608-3808
Mailing address
22530 3Rd St Apt 204
Hayward, CA 94541-2979
Phone (510) 459-6882
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 |
|---|---|---|---|
| 85794 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659744000000",
"number": "1073249793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22530 3RD ST APT 204",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945412979",
"telephone_number": "510-459-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3889 SAN PABLO AVE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946083808",
"telephone_number": "510-768-1034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLOWAY",
"first_name": "NATHANIEL",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "85794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Emeryville, CA
- Calfornia Emergency Physciains Medical Group
- California Emergency Physicians Medical Group, a Professional Corp.
- California Emergency Physicians Medical Group, a Professional Corporat
- California Emergency Physicians/Med America
- California Emergnecy Physicians Medical Group
- Jose Camaro, M.D.
- Capstone Orthopedic, Inc
- Kaylia Carroll
- Kevin Casaretto
- Angela Cassagne, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.