Michael Agcaoili Yadao, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH82352 Issued in CA

Practice address

1801 E March LN Ste B270
Stockton, CA 95210-6629

Phone

(209) 395-0555

Fax

(209) 451-3635

NPI assigned

Mar 22, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• BJRX Pharmacy LTC Inc

  • Long Term Care Pharmacy
  • Stockton, CA
  • NPI 1073983144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1922684786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 LIOTARD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952094517",
            "telephone_number": "209-471-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN STE B270",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-395-0555",
            "fax_number": "209-451-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YADAO",
        "first_name": "MICHAEL",
        "middle_name": "AGCAOILI",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH82352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Xiong
• Pavoua Xiong
• Susan Xiong
• Yang Yee Xiong, DDS
• Jessica Lu Xu, MD MS
• Stacy Marie Yadava, M.D.
• Anthony Yadon I
• Catherine Chase Yaghi, BCAT
• Alina Yalda, MD
• Robert Yam

• Pharmacist in Stockton, CA
• Providers in Stockton, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.