Active NPI
Kevin She, RPH
- Pharmacist
- Vacaville, CA
National Provider Identifier
1770069320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77715
- Practice address
- 3000 Harbison Dr
Vacaville, CA 95687-3909 - Phone
- (707) 452-8119
- NPI assigned
- Jul 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 77715 | CA | Primary |
Addresses
Primary practice location
3000 Harbison Dr
Vacaville, CA 95687-3909
Mailing address
7544 Charmant Dr Apt 1316
San Diego, CA 92122-5045
Phone (609) 369-2537
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 |
|---|---|---|---|
| 77715 | CA | MD | Massage 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": "1770069320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7544 CHARMANT DR APT 1316",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921225045",
"telephone_number": "609-369-2537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HARBISON DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873909",
"telephone_number": "707-452-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHE",
"first_name": "KEVIN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77715",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vacaville, 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.