Individual provider Active NPI

Bryant Li

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Sacramento, CA
National Provider Identifier
1548045750
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH90784 Issued in CA
Practice address
3240 Arden Way
Sacramento, CA 95825-2015
Phone
(916) 614-4060
NPI assigned
Aug 28, 2023
Reactivated
Oct 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH-0020239 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH90784 CA Primary
Pharmacist 183500000X INT49182 CA
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PH61567519 WA

Addresses

Primary practice location

3240 Arden Way
Sacramento, CA 95825-2015

Mailing address

2305 Jefferson Blvd Unit 2208
West Sacramento, CA 95691-5773
Phone (925) 895-1512

Other practice location 1

5717 NE 138th Ave
Portland, OR 97230-3499
Phone (503) 821-1166

Other practice location 2

2693 Fruitvale Ave
Oakland, CA 94601-2034
Phone (510) 330-4906

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
INT49182CAMDPharmacist
RPH90784CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0020239ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH61567519WAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1548045750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 JEFFERSON BLVD UNIT 2208",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956915773",
            "telephone_number": "925-895-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 ARDEN WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252015",
            "telephone_number": "916-614-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5717 NE 138th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972303499",
            "country_code": "US",
            "telephone_number": "503-821-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2693 Fruitvale Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012034",
            "country_code": "US",
            "telephone_number": "510-330-4906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "BRYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "deactivation_date": "2024-09-22",
        "reactivation_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0020239",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "RPH90784",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "INT49182",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH61567519",
            "primary": false
        }
    ],
    "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 Aug 29, 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.

Verify at the official NPI Registry.