Active NPI
Jyoti Borse
- Pharmacist
- Brentwood, CA
National Provider Identifier
1255709036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61956
- Practice address
- 1125 2ND St
Brentwood, CA 94513-2211 - Phone
- (925) 634-6782
- NPI assigned
- Sep 10, 2015
- 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 | 61956 | CA | Primary |
Addresses
Primary practice location
1125 2ND St
Brentwood, CA 94513-2211
Mailing address
110 N Murrieta Blvd
Livermore, CA 94551-3069
Phone (408) 656-9729
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 |
|---|---|---|---|
| 61956 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1255709036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N MURRIETA BLVD",
"city": "LIVERMORE",
"state": "CA",
"postal_code": "945513069",
"telephone_number": "408-656-9729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 2ND ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132211",
"telephone_number": "925-634-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORSE",
"first_name": "JYOTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.