Active NPI
Keiko Duncan
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1548719602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 75003
- Practice address
- 2300 Mendocino Ave
Santa Rosa, CA 95403-3115 - Phone
- (707) 569-3111
- NPI assigned
- Sep 29, 2016
- Last updated
- Sep 29, 2016
- 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 | 75003 | CA | Primary |
Addresses
Primary practice location
2300 Mendocino Ave
Santa Rosa, CA 95403-3115
Mailing address
2300 Mendocino Ave
Santa Rosa, CA 95403-3115
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 |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1548719602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 MENDOCINO AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954033115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MENDOCINO AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954033115",
"telephone_number": "707-569-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "KEIKO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "75003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.