Active NPI
Lindsay Michelle Okubo, PHARMD
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1396354494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH83826
- Practice address
- 1165 Montgomery Dr
Santa Rosa, CA 95405-4801 - Phone
- (707) 525-5335
- NPI assigned
- Jul 24, 2020
- 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 | RPH83826 | CA | Primary |
Addresses
Primary practice location
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Mailing address
2104 Cypress St
Hollister, CA 95023-7553
Phone (408) 828-4756
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH83826 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1396354494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 CYPRESS ST",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950237553",
"telephone_number": "408-828-4756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 MONTGOMERY DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054801",
"telephone_number": "707-525-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKUBO",
"first_name": "LINDSAY",
"middle_name": "MICHELLE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-24",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH83826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.