Active NPI
Tracie N. Tanakaya, PHARM.D.
- Pharmacist
- Oakland, CA
National Provider Identifier
1952730947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 57160
- Practice address
- 200 Webster St Ste 200
Oakland, CA 94607-4108 - Phone
- (510) 587-2626
- NPI assigned
- Nov 11, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57160 | CA | Primary |
| Pharmacist | 183500000X | PH2053 | HI | |
| Pharmacist | 183500000X | PHA15898 | CO | |
| Pharmacist | 183500000X | 18180 | NV |
Addresses
Primary practice location
200 Webster St Ste 200
Oakland, CA 94607-4108
Mailing address
200 Webster St Ste 200
Oakland, CA 94607-4108
Phone (510) 587-2626
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 |
|---|---|---|---|
| 57160 | CA | MD | Pharmacist |
| PHA15898 | CO | MD | Pharmacist |
| PH2053 | HI | MD | Pharmacist |
| 18180 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396224000000",
"number": "1952730947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEBSTER ST STE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074108",
"telephone_number": "510-587-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEBSTER ST STE 200",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074108",
"telephone_number": "510-587-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKAYA",
"first_name": "TRACIE",
"middle_name": "N.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-11",
"last_updated": "2014-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "57160",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH2053",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA15898",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "18180",
"primary": false
}
],
"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 Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.