Active NPI
Gary Seun, PHARMD
- Pharmacist
- Berkeley, CA
National Provider Identifier
1992360747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77375
- Practice address
- 1744 Solano Ave
Berkeley, CA 94707-2213 - Phone
- (510) 526-2452
- NPI assigned
- May 7, 2019
- Sex
- Male
- 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 | 77375 | CA | Primary |
Addresses
Primary practice location
1744 Solano Ave
Berkeley, CA 94707-2213
Mailing address
1510 Flagship Dr
Vallejo, CA 94592-1194
Phone (951) 675-8798
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 |
|---|---|---|---|
| 77375 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmaca Integrative Pharmacy, Inc. | Past | Accepting new patients | |
| Pharmaca Integrative Pharmacy, Inc. | 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Berkeley, CA
- NPI 1740343045
-
- Community/Retail Pharmacy
- Redmond, WA
- NPI 1013069822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1992360747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 FLAGSHIP DR",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945921194",
"telephone_number": "951-675-8798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 SOLANO AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947072213",
"telephone_number": "510-526-2452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEUN",
"first_name": "GARY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.