Active NPI
Sandra Colbert, PHARM D
- Pharmacist
- Brentwood, CA
National Provider Identifier
1457888158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43630
- Practice address
- 1175 2ND St
Brentwood, CA 94513-2211 - Phone
- (925) 634-8045
- Fax
- (925) 634-0838
- NPI assigned
- May 12, 2017
- Sex
- Female
- 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 | 43630 | CA | Primary |
Addresses
Primary practice location
1175 2ND St
Brentwood, CA 94513-2211
Mailing address
1175 2ND St
Brentwood, CA 94513-2211
Phone (925) 634-8045
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 |
|---|---|---|---|
| 43630 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients | |
| Longs Drug Stores California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1457888158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 2ND ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132211",
"telephone_number": "925-634-8045",
"fax_number": "925-634-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 2ND ST",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945132211",
"telephone_number": "925-634-8045",
"fax_number": "925-634-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "SANDRA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.