Active NPI
Robert Inoshita
- Pharmacist
- Stockton, CA
National Provider Identifier
1821398413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42647
- Practice address
- 6445 Pacific Ave
Stockton, CA 95207-3715 - Phone
- (209) 472-8605
- Fax
- (209) 472-8609
- NPI assigned
- Oct 28, 2010
- 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 | 42647 | CA | Primary |
Addresses
Primary practice location
6445 Pacific Ave
Stockton, CA 95207-3715
Mailing address
6445 Pacific Ave
Stockton, CA 95207-3715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY46687 | Medicaid | CA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42647 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Stockton, CA
- NPI 1356370399
-
- Community/Retail Pharmacy
- Queen Creek, AZ
- NPI 1730040973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1821398413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6445 PACIFIC AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952073715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6445 PACIFIC AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952073715",
"telephone_number": "209-472-8605",
"fax_number": "209-472-8609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INOSHITA",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHY46687",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
- Innovative Senior Rehabilitation Services Inc.
- Innovative Senior Rehabilitation Services Inc.
- Innovative Senior Rehabilitation Services, Inc.
- Raquel Leones Inong-Steptoe
- Maywell Lynn Leones Inong, D.D.S.
- Scott R. Inoue, D.C.
- Insightful Connections Marriage and Family Therapy Professional Corp
- Integrated Pain Treatment Center
- Integrated Pathology Services, Inc.
- Intellicare Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.