NPIMap

Organization Active NPI

University of the Pacific

  • Pharmacotherapy Pharmacist
  • Stockton, CA
National Provider Identifier
1295085413
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
43454 Issued in CA
Legal business name
UNIVERSITY OF THE PACIFIC
Practice address
3601 Pacific Ave
T. J. Long School of Pharmacy
Stockton, CA 95211-0110
Phone
(209) 946-2396
Fax
(209) 932-4038
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Prof. James Alan Uchizono, PHARM.D., PH.D.
Title
Professor, Assist. Dean & Director
Phone
(209) 946-2396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 1835P1200X 43454 CA Primary

Addresses

Primary practice location

3601 Pacific Ave
T. J. Long School of Pharmacy
Stockton, CA 95211-0110

Mailing address

3601 Pacific Ave
T. J. Long School of Pharmacy
Stockton, CA 95211-0110
Phone (209) 946-2396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150408002943 CA Part B Supplier - Clinic/Group Practice 2163740861 Receives reassigned benefits from 15 practitioners
3 other NPIs on this enrollment
Practice locations: Stockton, CA; San Francisco, CA

National Provider Directory

National Provider Directory
Tax ID family
University of the Pacific Arthur a Dugoni School of Dentistry29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Locations

3601 Pacific Ave
#T
Stockton, CA 95211
Phone (209) 946-2396

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1295085413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 PACIFIC AVE",
            "address_2": "T. J. LONG SCHOOL OF PHARMACY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110110",
            "telephone_number": "209-946-2396",
            "fax_number": "209-932-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 PACIFIC AVE",
            "address_2": "T. J. LONG SCHOOL OF PHARMACY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952110110",
            "telephone_number": "209-946-2396",
            "fax_number": "209-932-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF THE PACIFIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "UCHIZONO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PROFESSOR, ASSIST. DEAN & DIRECTOR",
        "authorized_official_telephone_number": "209-946-2396",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "PHARM.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "43454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.