Active NPI
Michael Nishioka
- Pharmacist
- Oakland, CA
National Provider Identifier
1548829062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33011
- Practice address
- 3236 Lakeshore Ave
Oakland, CA 94610-2720 - Phone
- (510) 451-1737
- NPI assigned
- Jun 8, 2019
- Sex
- Male
- 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 | 33011 | CA | Primary |
Addresses
Primary practice location
3236 Lakeshore Ave
Oakland, CA 94610-2720
Mailing address
209 Pioneer CT
Richmond, CA 94803-2648
Phone (510) 222-0681
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559952000000",
"number": "1548829062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 PIONEER CT",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948032648",
"telephone_number": "510-222-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3236 LAKESHORE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946102720",
"telephone_number": "510-451-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIOKA",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-08",
"last_updated": "2019-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "33011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.