Active NPI
Patrick Graham
- Pharmacist
- Auburn, CA
National Provider Identifier
1912561762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 037123
- Practice address
- 10045 Combie Rd
Auburn, CA 95602-8901 - Phone
- (530) 320-6474
- NPI assigned
- Apr 26, 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 | 037123 | CA | Primary |
Addresses
Primary practice location
10045 Combie Rd
Auburn, CA 95602-8901
Mailing address
12500 Lakeshore N
Auburn, CA 95602-8128
Phone (530) 320-6474
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 |
|---|---|---|---|
| 037123 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1912561762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12500 LAKESHORE N",
"city": "AUBURN",
"state": "CA",
"postal_code": "956028128",
"telephone_number": "530-320-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10045 COMBIE RD",
"city": "AUBURN",
"state": "CA",
"postal_code": "956028901",
"telephone_number": "530-320-6474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "037123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
- May Goto, PHARMD
- Ramases Gousheh
- Marline Gow
- George Loton Graham, CADC II-CA, CADC CS
- Kristen Dorothy Graham, MPT
- Sherry Annette Graham, MSW, ASW
- Daniele Grandmaison Kuhn, RD/RDN
- Granite Point Capital II LLC (Progressive Hospice Services)
- Granite Point Partners LLC (Progressive Home Care - Auburn)
- Granite Wellness Centers (Auburn Campus Residential Program)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.