Individual provider Active NPI

Clara Ko

  • Pharmacist
  • San Mateo, CA
National Provider Identifier
1508399882
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
44018 Issued in CA
Practice address
1000 Franklin Pkwy
Kaiser Permanente Outpatient Pharmacy
San Mateo, CA 94403-1922
Phone
(650) 358-7114
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 44018 CA Primary

Addresses

Primary practice location

1000 Franklin Pkwy
Kaiser Permanente Outpatient Pharmacy
San Mateo, CA 94403-1922

Mailing address

1000 Franklin Pkwy
Kaiser Permanente Outpatient Pharmacy
San Mateo, CA 94403-1922
Phone (650) 358-7114

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

LicenseStateTypeSpecialty
44018CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1508399882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN PKWY",
            "address_2": "KAISER PERMANENTE OUTPATIENT PHARMACY",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031922",
            "telephone_number": "650-358-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FRANKLIN PKWY",
            "address_2": "KAISER PERMANENTE OUTPATIENT PHARMACY",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031922",
            "telephone_number": "650-358-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "CLARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "44018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.