Nawarat Udomphonkul, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

56446 Issued in CA

Practice address

200 W Arbor Dr
San Diego, CA 92103-8765

Phone

(415) 902-1577

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1104467810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 POE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921061804",
            "telephone_number": "415-902-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921038765",
            "telephone_number": "415-902-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDOMPHONKUL",
        "first_name": "NAWARAT",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "56446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Udeh
• Christopher James Udell, PHD
• Kerry Udo, M.A., BCBA
• Ekaete Daniel Udoh, PA - C
• Mike Onu Udoh, MD
• Marina Udowenko, D. O.
• Kimberly Jean Uecker
• Noriko Ueda-Lang, DACM
• Patricia Sloan Ueland
• Kaitlynn Ueno, M.S. CCC-SLP

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.