Kevin Stuart Tom in Sacramento - Pharmacist
Kevin Stuart Tom - NPI 1730284126
Kevin Stuart Tom is a Pharmacist in Sacramento, California. Kevin Stuart Tom practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kevin Stuart Tom is 1730284126. The last update date is 2007-07-08.
Kevin Stuart Tom's current location address is 1355 Florin Rd Ste 1, Sacramento, California. You can contact this provider via phone number 9164227384 and fax number 9164223876. The mailing address for Kevin Stuart Tom is 1355 Florin Rd Ste 1, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Stuart Tom |
|---|---|
| Address | 1355 Florin Rd Ste 1, Sacramento, California |
| Phone Number | 9164227384 |
| Fax Number | 9164223876 |
| Sole Proprietor | Y |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1730284126 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1355 Florin Rd Ste 1 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958224200 |
| Phone Number | 9164227384 |
| Fax Number | 9164223876 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 42600 |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45399128 | CA | STATE TAX ID NUMBER | |
| PHA445700 | CA | MEDI-CAL ID NUMBER | |
| 42600 | CA | PHARMACIST LICENSE | |
| PHY44570 | CA | PHARMACY STATE LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kevin Stuart Tom by the Centers for Medicare & Medicaid Services?
The Kevin Stuart Tom has been assigned the NPI (National Provider Identifier) 1730284126. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kevin Stuart Tom?
The Kevin Stuart Tom is situated at 1355 Florin Rd Ste 1, in the city of Sacramento, state of CA, with the zip code 958224200.
What is Kevin Stuart Tom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Stuart Tom's specialized field of practice is Pharmacist, and the corresponding taxonomy code that categorizes this area of specialization is 183500000X.
On what date was the 1730284126 assigned to Kevin Stuart Tom?
The Kevin Stuart Tom was issued its 1730284126 on 2006-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kevin Stuart Tom most recently updated?
The details pertaining to the Kevin Stuart Tom, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.