Active NPI
Samuel Pitak, PHARMD
- Pharmacist
- Redwood City, CA
National Provider Identifier
1700132867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67301
- Practice address
- 290 Redwood Shores Pkwy
Redwood City, CA 94065-1173 - Phone
- (844) 421-6414
- NPI assigned
- Jul 26, 2012
- Last updated
- May 29, 2019
- 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 | 67301 | CA | Primary |
Addresses
Primary practice location
290 Redwood Shores Pkwy
Redwood City, CA 94065-1173
Mailing address
535 Oakmead Pkwy
Sunnyvale, CA 94085-4023
Phone (844) 421-6414
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 |
|---|---|---|---|
| 67301 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1700132867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 OAKMEAD PKWY",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940854023",
"telephone_number": "844-421-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 REDWOOD SHORES PKWY",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940651173",
"telephone_number": "844-421-6414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITAK",
"first_name": "SAMUEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-26",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "67301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.