Individual provider Active NPI

Kent Jun Osias, PHARM.D.

  • Pharmacist
  • Palmdale, CA
National Provider Identifier
1073986303
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
73890 Issued in CA
Practice address
38727 Tierra Subida Ave
Palmdale, CA 93551-4248
Phone
(661) 274-9678
NPI assigned
Nov 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 73890 CA Primary

Addresses

Primary practice location

38727 Tierra Subida Ave
Palmdale, CA 93551-4248

Mailing address

2286 Jasmine Ave
Upland, CA 91784-7360
Phone (909) 851-0525

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
73890CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1073986303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2286 JASMINE AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917847360",
            "telephone_number": "909-851-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38727 TIERRA SUBIDA AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514248",
            "telephone_number": "661-274-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSIAS",
        "first_name": "KENT",
        "middle_name": "JUN",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.