Individual provider Active NPI

Soutsada Sikhounchanh, PHARMD

  • Pharmacist
  • Berkeley, CA
National Provider Identifier
1467350702
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
93184 Issued in CA
Practice address
1444 Shattuck Ave
Berkeley, CA 94709-1411
Phone
(510) 526-3086
NPI assigned
Oct 27, 2026
Last updated
Oct 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 93184 CA Primary

Addresses

Primary practice location

1444 Shattuck Ave
Berkeley, CA 94709-1411

Mailing address

1444 Shattuck Ave
Berkeley, CA 94709-1411
Phone (510) 526-3086

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": "1793059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1467350702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091411",
            "telephone_number": "510-526-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947091411",
            "telephone_number": "510-526-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKHOUNCHANH",
        "first_name": "SOUTSADA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "93184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.