Active NPI
Sonya Edogun
- Pharmacist
- Berkeley, CA
National Provider Identifier
1164135489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 86006
- Practice address
- 1414 University Ave
Berkeley, CA 94702-1548 - Phone
- (510) 647-3873
- NPI assigned
- Jan 2, 2023
- Last updated
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 86006 | CA | Primary |
Addresses
Primary practice location
1414 University Ave
Berkeley, CA 94702-1548
Mailing address
16263 Maubert Ave
San Leandro, CA 94578-2109
Phone (510) 566-0205
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 |
|---|---|---|---|
| 86006 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1164135489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16263 MAUBERT AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782109",
"telephone_number": "510-566-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 UNIVERSITY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947021548",
"telephone_number": "510-647-3873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDOGUN",
"first_name": "SONYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2023-01-02",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.