Active NPI
Kenneth Edward A Dato, PHARMD
- Pharmacist
- Roseville, CA
National Provider Identifier
1588417208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89346
- Practice address
- 10451 Fairway Dr
Roseville, CA 95678-1987 - Phone
- (916) 780-2898
- NPI assigned
- Apr 10, 2024
- 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 | 89346 | CA | Primary |
Addresses
Primary practice location
10451 Fairway Dr
Roseville, CA 95678-1987
Mailing address
9109 Redwater Dr
Antelope, CA 95843-5448
Phone (916) 622-6339
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89346 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1588417208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9109 REDWATER DR",
"city": "ANTELOPE",
"state": "CA",
"postal_code": "958435448",
"telephone_number": "916-622-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10451 FAIRWAY DR",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956781987",
"telephone_number": "916-780-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DATO",
"first_name": "KENNETH EDWARD",
"middle_name": "A",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-10",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.