Glenn Y Yokoyama, PHARM.D
Individual provider Active NPI Pharmacist · San Franciso, CA
NPI 1962493882 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962493882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23622 (CA)
- Practice address
- 521 Parnassus Avenue, Box 0622
San Franciso, CA 94115-0622 - Phone
- (415) 502-9572
- Fax
- (415) 502-6785
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23622 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23622 | CA | Yes |
Addresses
Primary practice location
521 Parnassus Avenue, Box 0622
San Franciso, CA 94115-0622
Mailing address
1881 Sutter Street, #202
San Francisco, CA 94115
Phone (415) 502-9572
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23622 | Other | CA | LICENSE NUMBER |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.