Active NPI
Mina Um, PHARMD
- Pharmacist
- San Leandro, CA
National Provider Identifier
1861866212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73770
- Practice address
- 15500 Washington Ave
San Leandro, CA 94579-1839 - Phone
- (510) 483-3917
- NPI assigned
- Nov 23, 2015
- Last updated
- Nov 23, 2015
- Sex
- Female
- 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 | 73770 | CA | Primary |
Addresses
Primary practice location
15500 Washington Ave
San Leandro, CA 94579-1839
Mailing address
2995 Sombrero Cir
San Ramon, CA 94583-2209
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 |
|---|---|---|---|
| 73770 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1861866212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2995 SOMBRERO CIR",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945832209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15500 WASHINGTON AVE",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945791839",
"telephone_number": "510-483-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UM",
"first_name": "MINA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-23",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.