Active NPI
Joseph Brandon Luther
- Pharmacist
- Novato, CA
National Provider Identifier
1184095564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64113
- Practice address
- 7514 Redwood Blvd
Suite 104
Novato, CA 94945-7710 - Phone
- (415) 892-3700
- NPI assigned
- Oct 12, 2015
- Sex
- Male
- 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 | 64113 | CA | Primary |
Addresses
Primary practice location
7514 Redwood Blvd
Suite 104
Novato, CA 94945-7710
Mailing address
528 Ely Blvd S
Petaluma, CA 94954-3814
Phone (707) 616-8409
Other names 1
- Joseph Brandon Luther
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 |
|---|---|---|---|
| 64113 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmaca Integrative Pharmacy, 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.
-
- Community/Retail Pharmacy
- Redmond, WA
- NPI 1013069822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1184095564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 ELY BLVD S",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949543814",
"telephone_number": "707-616-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7514 REDWOOD BLVD",
"address_2": "SUITE 104",
"city": "NOVATO",
"state": "CA",
"postal_code": "949457710",
"telephone_number": "415-892-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUTHER",
"first_name": "JOSEPH",
"middle_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-12",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOSEPH",
"last_name": "LUTHER",
"middle_name": "BRANDON",
"credential": "PHARM D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.