Active NPI
Tim T. Tsukamoto, PHARM.D.
- Pharmacist
- Gardena, CA
National Provider Identifier
1801918248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH28944
- Practice address
- 1045 W Redondo Beach Blvd
Suite 140
Gardena, CA 90247-4128 - Phone
- (310) 532-0222
- Fax
- (310) 532-0553
- NPI assigned
- Apr 5, 2007
- 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 | RPH28944 | CA | Primary |
Addresses
Primary practice location
1045 W Redondo Beach Blvd
Suite 140
Gardena, CA 90247-4128
Mailing address
2511 W 233Rd St
Torrance, CA 90505-3107
Phone (310) 532-0222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH28944 | Other | CA | PHARMACIST |
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 |
|---|---|---|---|
| RPH28944 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| AMC RX Pharmacy, Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801918248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 W 233RD ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905053107",
"telephone_number": "310-532-0222",
"fax_number": "310-532-0553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W REDONDO BEACH BLVD",
"address_2": "SUITE 140",
"city": "GARDENA",
"state": "CA",
"postal_code": "902474128",
"telephone_number": "310-532-0222",
"fax_number": "310-532-0553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSUKAMOTO",
"first_name": "TIM",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH28944",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "RPH28944",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.