Individual provider Active NPI

I-Kuan Hsu, PHARMD

  • Pharmacist
  • San Rafael, CA
National Provider Identifier
1225554470
Registry record updated Aug 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
76653 Issued in CA
Practice address
100 Smith Ranch Rd FL 2
San Rafael, CA 94903-5552
Phone
(415) 492-6362
NPI assigned
Aug 19, 2017
Last updated
Aug 19, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 76653 CA Primary

Addresses

Primary practice location

100 Smith Ranch Rd FL 2
San Rafael, CA 94903-5552

Mailing address

418 Whitehall Rd Apt B
Alameda, CA 94501-6192
Phone (650) 703-2513

Other identifiers 1

IdentifierTypeStateIssuer
76653OtherCACALIFORNIA STATE BOARD OF PHARMACY

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

NPI Registry JSON

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

{
    "created_epoch": "1503100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503100800000",
    "number": "1225554470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 WHITEHALL RD APT B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945016192",
            "telephone_number": "650-703-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITH RANCH RD FL 2",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035552",
            "telephone_number": "415-492-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "I-KUAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-19",
        "last_updated": "2017-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "76653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "76653",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2017; 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.