Active NPI
Nicole NG
- Pharmacist
- Daly City, CA
National Provider Identifier
1497169676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70373
- Practice address
- 133 Serramonte Ctr
Daly City, CA 94015-2349 - Phone
- (650) 755-2393
- NPI assigned
- Jun 17, 2014
- 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 | 70373 | CA | Primary |
Addresses
Primary practice location
133 Serramonte Ctr
Daly City, CA 94015-2349
Mailing address
PO Box 411721
San Francisco, CA 94141-1721
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70373 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474675200000",
"number": "1497169676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411721",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941411721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 SERRAMONTE CTR",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152349",
"telephone_number": "650-755-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2016-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.