Active NPI
Christina Song
- Pharmacist
- San Francisco, CA
National Provider Identifier
1265703888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55155
- Practice address
- 1363 Divisadero St
San Francisco, CA 94115-3912 - Phone
- (415) 931-9974
- Fax
- (415) 931-9825
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 55155 | CA | Primary |
Addresses
Primary practice location
1363 Divisadero St
San Francisco, CA 94115-3912
Mailing address
350 Broderick St Apt 310
San Francisco, CA 94117-2278
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreens | Pharmacist | Past | Accepting new patients |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pharmacist
- San Francisco, CA
- NPI 1497038814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1265703888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BRODERICK ST APT 310",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941172278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153912",
"telephone_number": "415-931-9974",
"fax_number": "415-931-9825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "CHRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.