Wigbert Sy
Individual provider Active NPI Pharmacist · Cool, CA
NPI 1184037533 · NPPES record last updated Jun 3, 2014
Key facts
- NPI
- 1184037533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH44293 (CA)
- Practice address
- 2220 Terrace View CT
Cool, CA 95614-9454 - Phone
- (530) 863-3822
- NPI assigned
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RPH44293 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH44293 | CA | Yes |
Addresses
Primary practice location
2220 Terrace View CT
Cool, CA 95614-9454
Mailing address
2220 Terrace View CT
Cool, CA 95614-9454
Phone (530) 863-3822
Other providers in Cool, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2014. 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.