Active NPI
John Erik Lyckfors I, PHARMD D
- Pharmacist
- Oakland, CA
National Provider Identifier
1447347828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43517
- Practice address
- 280 W Macarthur Blvd
Oakland, CA 94611-5642 - Phone
- (510) 752-6957
- Fax
- (510) 752-7441
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- 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 | 43517 | CA | Primary |
Addresses
Primary practice location
280 W Macarthur Blvd
Oakland, CA 94611-5642
Mailing address
3154 Phoenix LN
Alameda, CA 94502-6925
Phone (510) 814-9246
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 |
|---|---|---|---|
| 43517 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447347828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3154 PHOENIX LN",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026925",
"telephone_number": "510-814-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 W MACARTHUR BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115642",
"telephone_number": "510-752-6957",
"fax_number": "510-752-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYCKFORS",
"first_name": "JOHN",
"middle_name": "ERIK",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PHARMD D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.