Active NPI
Anita Jo Lang, RPH
- Pharmacist
- Fairfield, CA
National Provider Identifier
1609121227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32847
- Practice address
- 2401 Waterman Blvd
Fairfield, CA 94534-1800 - Phone
- (707) 427-5642
- Fax
- (707) 427-5645
- NPI assigned
- Jul 19, 2012
- Last updated
- Jul 19, 2012
- 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 | 32847 | CA | Primary |
Addresses
Primary practice location
2401 Waterman Blvd
Fairfield, CA 94534-1800
Mailing address
410 Brians Way
Dixon, CA 95620-4296
Phone (707) 673-6539
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32847 | CA | MD | Clinical Child & Adolescent Psychologist |
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": "1342656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1609121227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BRIANS WAY",
"city": "DIXON",
"state": "CA",
"postal_code": "956204296",
"telephone_number": "707-673-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 WATERMAN BLVD",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341800",
"telephone_number": "707-427-5642",
"fax_number": "707-427-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANG",
"first_name": "ANITA",
"middle_name": "JO",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-19",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.