Active NPI
Gwendolyn Lam
- Pharmacist
- Alameda, CA
National Provider Identifier
1518330653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41000
- Practice address
- 885 Island Dr Ste a
Alameda, CA 94502-6767 - Phone
- (510) 865-2155
- Fax
- (510) 864-7079
- NPI assigned
- Nov 12, 2015
- 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 | 41000 | CA | Primary |
Addresses
Primary practice location
885 Island Dr Ste a
Alameda, CA 94502-6767
Mailing address
885 Island Dr Ste a
Alameda, CA 94502-6767
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Kapolei, HI
- NPI 1700565793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1518330653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 ISLAND DR STE A",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 ISLAND DR STE A",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945026767",
"telephone_number": "510-865-2155",
"fax_number": "510-864-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "GWENDOLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "41000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.