Active NPI
Nicholas E Kostek, RPH, MS
- Pharmacist
- Oakland, CA
National Provider Identifier
1669566154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28325
- Practice address
- 1800 Harrison St
Suite 1301
Oakland, CA 94612-3466 - Phone
- (510) 625-3715
- Fax
- (510) 625-3734
- NPI assigned
- Oct 2, 2006
- 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 | 28325 | CA | Primary |
Addresses
Primary practice location
1800 Harrison St
Suite 1301
Oakland, CA 94612-3466
Mailing address
1800 Harrison St
Suite 1301
Oakland, CA 94612-3466
Phone (510) 625-3715
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28325 | CA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187827200000",
"number": "1669566154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HARRISON ST",
"address_2": "SUITE 1301",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123466",
"telephone_number": "510-625-3715",
"fax_number": "510-625-3734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HARRISON ST",
"address_2": "SUITE 1301",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123466",
"telephone_number": "510-625-3715",
"fax_number": "510-625-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSTEK",
"first_name": "NICHOLAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "RPH, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "28325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.