Active NPI
Alka Avinash Korgaonkar, RPH
- Pharmacist
- Fremont, CA
National Provider Identifier
1760780456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 49300
- Practice address
- 43621 Pacific Commons Blvd
Fremont, CA 94538-3809 - Phone
- (510) 897-1119
- NPI assigned
- Mar 4, 2011
- Sex
- Female
- 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 | RPH 49300 | CA | Primary |
Addresses
Primary practice location
43621 Pacific Commons Blvd
Fremont, CA 94538-3809
Mailing address
4813 Ridgewood Dr
Fremont, CA 94555-2841
Phone (510) 791-2824
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 49300 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299196800000",
"number": "1760780456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4813 RIDGEWOOD DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945552841",
"telephone_number": "510-791-2824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43621 PACIFIC COMMONS BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383809",
"telephone_number": "510-897-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORGAONKAR",
"first_name": "ALKA",
"middle_name": "AVINASH",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-04",
"last_updated": "2011-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 49300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.