Active NPI
Steven Tom
- Pharmacist
- Fair Oaks, CA
National Provider Identifier
1376959825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 40200
- Practice address
- 4930 Runway Dr
Fair Oaks, CA 95628-8129 - Phone
- (916) 304-5516
- NPI assigned
- Jul 5, 2014
- Sex
- Male
- 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 | 40200 | CA | Primary |
Addresses
Primary practice location
4930 Runway Dr
Fair Oaks, CA 95628-8129
Mailing address
4930 Runway Dr
Fair Oaks, CA 95628-8129
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404518400000",
"number": "1376959825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 RUNWAY DR",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956288129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 RUNWAY DR",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956288129",
"telephone_number": "916-304-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "STEVEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-05",
"last_updated": "2014-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "40200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.