Active NPI
Irene Ahlstrom, PHARM D
- Pharmacist
- Dublin, CA
National Provider Identifier
1184744070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- Practice address
- 5701 8TH St
Camp Parks
Dublin, CA 94568-3305 - Phone
- (925) 833-7500
- Fax
- (925) 833-7595
- NPI assigned
- Apr 2, 2007
- 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 | IL | Primary |
Addresses
Primary practice location
5701 8TH St
Camp Parks
Dublin, CA 94568-3305
Mailing address
6700 Goodfellow Ave.
15
Dublin, CA 94568-3307
Phone (925) 833-7500
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051288696 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Correctional Institution Dublin, California | 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.
-
- Prison Health Clinic/Center
- Dublin, CA
- NPI 1841521770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1184744070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 GOODFELLOW AVE.",
"address_2": "15",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683307",
"telephone_number": "925-833-7500",
"fax_number": "925-833-7595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 8TH ST",
"address_2": "CAMP PARKS",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683305",
"telephone_number": "925-833-7500",
"fax_number": "925-833-7595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHLSTROM",
"first_name": "IRENE",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.