Active NPI
Kyle Bigham
- Pharmacist
- Eureka, CA
National Provider Identifier
1841857661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- IR60597442
- Practice address
- 2097 Harrison Ave
Eureka, CA 95501-3211 - Phone
- (530) 204-8475
- NPI assigned
- May 28, 2019
- Last updated
- May 28, 2019
- 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 | IR60597442 | WA | Primary |
Addresses
Primary practice location
2097 Harrison Ave
Eureka, CA 95501-3211
Mailing address
2097 Harrison Ave
Eureka, CA 95501-3211
Phone (530) 204-8475
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 |
|---|---|---|---|
| IR60597442 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1841857661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2097 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013211",
"telephone_number": "530-204-8475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2097 HARRISON AVE",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013211",
"telephone_number": "530-204-8475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIGHAM",
"first_name": "KYLE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "IR60597442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
- Alicia K Bieniek
- Gabriel Justin Bieren
- Kathryn Louise Pagano Biesanz, OTD, OTR/L
- Michael E. Biesen
- Cynthia Marshall Bigbee, LCSW
- Anna Marie Billings
- Cristina Pansini Billingsley, LMFT
- Uma D Bingham, NP
- Bio-Medical Applications of Eureka, Inc. (Fresenius Medical Care of Eureka)
- Birth Work by Sydney Nashae, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.