Active NPI
Koko Lai-Shan Huie, PHARM. D
- Pharmacist
- Ukiah, CA
National Provider Identifier
1922376342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 62666
- Practice address
- 653 S. State Street
Ukiah, CA 95482 - Phone
- (707) 467-2775
- NPI assigned
- Dec 13, 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 | 62666 | CA | Primary |
Addresses
Primary practice location
653 S. State Street
Ukiah, CA 95482
Mailing address
653 S State St
Ukiah, CA 95482-4912
Phone (707) 467-2775
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 |
|---|---|---|---|
| 62666 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1922376342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "653 S STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824912",
"telephone_number": "707-467-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "653 S. STATE STREET",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-467-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUIE",
"first_name": "KOKO",
"middle_name": "LAI-SHAN",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "62666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.