Active NPI
Eareana Um
- Pharmacist
- Scotts Valley, CA
National Provider Identifier
1902467608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77970
- Practice address
- 257 Mount Hermon Rd
Scotts Valley, CA 95066-4037 - Phone
- (831) 438-5982
- NPI assigned
- Jun 24, 2019
- 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 | 77970 | CA | Primary |
Addresses
Primary practice location
257 Mount Hermon Rd
Scotts Valley, CA 95066-4037
Mailing address
949 Hanover St
Santa Cruz, CA 95062-2653
Phone (831) 319-6052
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1902467608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "949 HANOVER ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950622653",
"telephone_number": "831-319-6052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "257 MOUNT HERMON RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664037",
"telephone_number": "831-438-5982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UM",
"first_name": "EAREANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "CA",
"license": "77970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.