Individual provider Active NPI

Tracy Kimiyo Fujiwara Namimatsu, PHARM.D.

  • Pharmacist
  • Mountain View, CA
National Provider Identifier
1609957422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47707 Issued in CA
Practice address
555 Castro St
Mountain View, CA 94041-2009
Phone
(650) 903-2779
Fax
(650) 903-2128
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 47707 CA Primary

Addresses

Primary practice location

555 Castro St
Mountain View, CA 94041-2009

Mailing address

13755 Calle Tacuba
Saratoga, CA 95070-4920
Phone (408) 867-8656

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

LicenseStateTypeSpecialty
47707CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609957422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13755 CALLE TACUBA",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704920",
            "telephone_number": "408-867-8656",
            "fax_number": "408-867-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CASTRO ST",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940412009",
            "telephone_number": "650-903-2779",
            "fax_number": "650-903-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMIMATSU",
        "first_name": "TRACY",
        "middle_name": "KIMIYO FUJIWARA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "47707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.