Active NPI
Eddie Upsornsopakit Raymundo
- Pharmacist
- Antioch, CA
National Provider Identifier
1598573255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 90629
- Practice address
- 4900 Cherrywood Way
Antioch, CA 94531-8147 - Phone
- (415) 260-9660
- NPI assigned
- Dec 26, 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 | 90629 | CA | Primary |
Addresses
Primary practice location
4900 Cherrywood Way
Antioch, CA 94531-8147
Mailing address
4900 Cherrywood Way
Antioch, CA 94531-8147
Phone (415) 260-9660
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90629 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1598573255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 CHERRYWOOD WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318147",
"telephone_number": "415-260-9660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 CHERRYWOOD WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318147",
"telephone_number": "415-260-9660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMUNDO",
"first_name": "EDDIE",
"middle_name": "UPSORNSOPAKIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-26",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "90629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.