Active NPI
Kaki Cheung, PHARM.D.
- Pharmacist
- Berkeley, CA
National Provider Identifier
1871965293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71011
- Practice address
- 2300 Shattuck Ave
Berkeley, CA 94704-1517 - Phone
- (510) 549-4255
- NPI assigned
- Oct 25, 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 | 71011 | CA | Primary |
Addresses
Primary practice location
2300 Shattuck Ave
Berkeley, CA 94704-1517
Mailing address
2300 Shattuck Ave
Berkeley, CA 94704-1517
Phone (510) 549-4255
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 |
|---|---|---|---|
| 71011 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Store California LLC | 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": "1445731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1871965293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041517",
"telephone_number": "510-549-4255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 SHATTUCK AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041517",
"telephone_number": "510-549-4255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "KAKI",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-25",
"last_updated": "2023-12-12",
"certification_date": "2023-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "71011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.