1164890489 NPI number — SINCLAIR YUENSING LAI PHARM.D.

Table of content: SINCLAIR YUENSING LAI PHARM.D. (NPI 1164890489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164890489 NPI number — SINCLAIR YUENSING LAI PHARM.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAI
Provider First Name:
SINCLAIR
Provider Middle Name:
YUENSING
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164890489
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
817 MADEIRA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PLEASANTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94566-6916
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-462-0843
Provider Business Mailing Address Fax Number:
925-416-6522

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5555 W LAS POSITAS BLVD
Provider Second Line Business Practice Location Address:
PHARMACY DEPARTMENT
Provider Business Practice Location Address City Name:
PLEASANTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94588-4000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-416-6542
Provider Business Practice Location Address Fax Number:
925-416-6522
Provider Enumeration Date:
09/02/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  RPH 28927 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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