Adaeze Juliet Iyoha

Primary specialty

PharmacistTaxonomy code 183500000X

License

85585 Issued in CA

Practice address

880 Sir Francis Drake Blvd
San Anselmo, CA 94960-1914

Phone

(415) 456-4442

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Procare Transport

  • Non-emergency Medical Transport (VAN)
  • Richmond, CA
  • NPI 1134841356
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1255086880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 LATITUDES WAY",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948044509",
            "telephone_number": "734-589-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 SIR FRANCIS DRAKE BLVD",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949601914",
            "telephone_number": "415-456-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYOHA",
        "first_name": "ADAEZE",
        "middle_name": "JULIET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE",
            "identifier": "85585",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "apple MacBook",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1465 Latitudes Way",
            "city": "Richmond",
            "state": "CA",
            "country_code": "US",
            "postal_code": "948044509",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MacBook",
            "affiliation": "N",
            "endpointDescription": "personal laptop",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1465 Latitudes Way",
            "city": "Richmond",
            "state": "CA",
            "country_code": "US",
            "postal_code": "948044509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sarah Hinck, RN
• Sandra Jean Hirschfield, MA, MFT
• Christopher Dale Holtzer, PHARM.D.
• Huckleberry Youth Programs
• Ifeoma Ikenze, MD
• James D. Saarman D.D.S. Incorporated
• Pamela Jankelow
• John David Culbertson, MD Inc
• Megan L Jones
• Barbara Theiss Juniper

• Pharmacist in San Anselmo, CA
• Providers in San Anselmo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.