Active NPI
Dara Suon, PHARM D
- Pharmacist
- Stockton, CA
National Provider Identifier
1679059257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47777
- Practice address
- 4555 N Pershing Ave Ste 7
Stockton, CA 95207-6739 - Phone
- (209) 373-9629
- Fax
- (209) 473-7377
- NPI assigned
- Jul 17, 2018
- Last updated
- Jul 17, 2018
- 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 | 47777 | CA | Primary |
Addresses
Primary practice location
4555 N Pershing Ave Ste 7
Stockton, CA 95207-6739
Mailing address
13260 Alta Mesa Rd
Galt, CA 95632-8356
Phone (209) 822-6311
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47777 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1679059257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13260 ALTA MESA RD",
"city": "GALT",
"state": "CA",
"postal_code": "956328356",
"telephone_number": "209-822-6311",
"fax_number": "209-473-7377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 N PERSHING AVE STE 7",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076739",
"telephone_number": "209-373-9629",
"fax_number": "209-473-7377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUON",
"first_name": "DARA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "47777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.