Active NPI
Joseph NG
- Pharmacist
- San Joaquin, CA
National Provider Identifier
1952887440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78285
- Practice address
- 21890 W Colorado Ave
San Joaquin, CA 93660-9773 - Phone
- (559) 693-2462
- NPI assigned
- Jul 17, 2018
- Last updated
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 78285 | CA | Primary |
Addresses
Primary practice location
21890 W Colorado Ave
San Joaquin, CA 93660-9773
Mailing address
475 State Highway 49
Sutter Creek, CA 95685-4195
Phone (209) 267-5128
Other practice location 1
475 State Highway 49
Sutter Creek, CA 95685-4195
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 |
|---|---|---|---|
| 78285 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1952887440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 STATE HIGHWAY 49",
"city": "SUTTER CREEK",
"state": "CA",
"postal_code": "956854195",
"telephone_number": "209-267-5128",
"fax_number": "209-267-9146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21890 W COLORADO AVE",
"city": "SAN JOAQUIN",
"state": "CA",
"postal_code": "936609773",
"telephone_number": "559-693-2462"
}
],
"practiceLocations": [
{
"address_1": "475 State Highway 49",
"address_purpose": "LOCATION",
"city": "Sutter Creek",
"state": "CA",
"postal_code": "956854195",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NG",
"first_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-17",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Joaquin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.