Active NPI
Kent Hideo Tsusaki, PHARM.D.
- Pharmacist
- Sacramento, CA
National Provider Identifier
1508149535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45463
- Practice address
- 4495 Mack Rd
Sacramento, CA 95823-4545 - Phone
- (916) 399-0860
- NPI assigned
- Sep 26, 2011
- Sex
- Male
- 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 | 45463 | CA | Primary |
Addresses
Primary practice location
4495 Mack Rd
Sacramento, CA 95823-4545
Mailing address
835 C St Ste 180
Galt, CA 95632-2801
Phone (209) 745-2564
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 |
|---|---|---|---|
| 45463 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Valley Pharmacy Express LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Community/Retail Pharmacy
- Galt, CA
- NPI 1386050557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1508149535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 C ST STE 180",
"city": "GALT",
"state": "CA",
"postal_code": "956322801",
"telephone_number": "209-745-2564",
"fax_number": "209-745-2574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 MACK RD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958234545",
"telephone_number": "916-399-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUSAKI",
"first_name": "KENT",
"middle_name": "HIDEO",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-26",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "45463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.