Nicholas Hitoshi Siu
Individual provider Active NPI Pharmacist · Sacramento, CA
NPI 1316669195 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1316669195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 86782 (CA)
- Practice address
- 2050 Club Center Dr
Sacramento, CA 95835-1324 - Phone
- (916) 928-6848
- NPI assigned
- Sep 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86782 | CA | Yes |
Addresses
Primary practice location
2050 Club Center Dr
Sacramento, CA 95835-1324
Mailing address
2050 Club Center Dr
Sacramento, CA 95835-1324
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.