Active NPI
Randal Du
- Pharmacist
- Martinez, CA
National Provider Identifier
1619334745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 72889
- Practice address
- 200 Muir Rd, Hacienda BLDG, RM H1B18
Martinez, CA 94553 - Phone
- (925) 229-7663
- NPI assigned
- Jan 20, 2016
- 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 | 72889 | CA | Primary |
Addresses
Primary practice location
200 Muir Rd, Hacienda BLDG, RM H1B18
Martinez, CA 94553
Mailing address
200 Muir Rd, Hacienda BLDG, RM H1B18
Martinez, CA 94553
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 |
|---|---|---|---|
| 72889 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1619334745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MUIR RD, HACIENDA BLDG, RM H1B18",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MUIR RD, HACIENDA BLDG, RM H1B18",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "94553",
"telephone_number": "925-229-7663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "RANDAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "72889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.