Active NPI
Evelyn Yen-Li Sugihto
- Pharmacist
- Oakland, CA
National Provider Identifier
1922375245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 64070
- Practice address
- 1555 40TH St
Target Pharmacy Store Number T-2767
Oakland, CA 94608-3515 - Phone
- (510) 285-0560
- Fax
- (510) 285-0570
- NPI assigned
- Dec 1, 2011
- 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 | 64070 | CA | Primary |
Addresses
Primary practice location
1555 40TH St
Target Pharmacy Store Number T-2767
Oakland, CA 94608-3515
Mailing address
1555 40TH St
Target Pharmacy Store Number T-2767
Oakland, CA 94608-3515
Phone (510) 285-0560
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 |
|---|---|---|---|
| 64070 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1922375245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 40TH ST",
"address_2": "TARGET PHARMACY STORE NUMBER T-2767",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946083515",
"telephone_number": "510-285-0560",
"fax_number": "510-285-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 40TH ST",
"address_2": "TARGET PHARMACY STORE NUMBER T-2767",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946083515",
"telephone_number": "510-285-0560",
"fax_number": "510-285-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGIHTO",
"first_name": "EVELYN",
"middle_name": "YEN-LI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "64070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.