BRIAN SO (NPI# 1255850053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850053 |
| Entity Type | Individual |
| Full Name | BRIAN SO |
| Credential | PHARMD |
| Practice Address |
3701 Broadway Oakland CA 94611 |
| Mailing Address |
105 Lucy Ln San Ramon CA 94582-5231 |
| Practice Telephone | 5107522392 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
55638 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841499100 | Brian Jin So | Internal Medicine | 1920 Moores Lane, Texarkana, TX 75503 | 2007-07-16 |
| 1366904492 | Brian So | Student in an Organized Health Care Education/Training Program | 903 W Martin St, San Antonio, TX 78207-0903 | 2019-04-06 |
| 1588086805 | Brian So | Physical Therapist | 909 Davis St, Suite 220, Evanston, IL 60201-3683 | 2014-01-07 |
| 1598077745 | Brian So | Pharmacist | 19107 Bothell Way Ne, Bothell, WA 98011-2938 | 2010-07-03 |
| Street Address |
3701 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366508046 | Jonelle S Broaddus | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2006-12-28 |
| 1801406095 | Janice Flora Park | Pharmacist | 3701 Broadway, Oakland, CA 94611-5613 | 2020-08-03 |
| 1396372140 | Nilomi Nilesh Shah | Pharmacist | 3701 Broadway, Oakland, CA 94611-5613 | 2020-03-23 |
| 1053953307 | Binh Nguyen | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2019-10-08 |
| 1104475201 | Rachel Kaufman | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2019-09-11 |
| 1588211767 | Brooke S Denholm | Speech-Language Pathologist | 3701 Broadway, Pediatric Rehabilitation, Ste. 105, Oakland, CA 94611-5613 | 2019-08-22 |
| 1902452683 | Alicia Mei Irikura | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2019-08-17 |
| 1063066520 | Jennifer Shaul | Occupational Therapist | 3701 Broadway, Oakland, CA 94609 | 2019-08-01 |
| 1710546627 | Alexis Lauren Keith Aguila | Physical Therapist | 3701 Broadway, Oakland, CA 94611-5613 | 2019-06-13 |
| 1912469529 | Brandon Kyle Butler | Pharmacist | 3701 Broadway, Oakland, CA 94611-5613 | 2019-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326411620 | Nosa Sule | Pharmacist | 733 37th St, Oakland, CA 94609-2331 | 2015-11-09 |
| 1134731318 | Jimmy Allen Huang | Pharmacist | 10700 Macarthur Blvd, Oakland, CA 94605-5298 | 2020-08-19 |
| 1801406095 | Janice Flora Park | Pharmacist | 3701 Broadway, Oakland, CA 94611-5613 | 2020-08-03 |
| 1164069340 | Johnny K Thai | Pharmacist | 3600 Broadway, Oakland, CA 94611-5730 | 2019-12-05 |
| 1114580636 | Sarah G Chaaito | Pharmacist | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2019-04-19 |
| 1356858740 | Dena Westphalen | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-01-07 |
| 1811448095 | Lien Ha | Pharmacist | 3801 Howe St, Oakland, CA 94611-5312 | 2016-10-21 |
| 1386199263 | Anthony Nguyen | Pharmacist | 6955 Foothill Blvd, Suite 200, Oakland, CA 94605-2455 | 2016-08-19 |
| 1902213952 | Runyu Chen | Pharmacist | 3801 Howe St, Oakland, CA 94611-5312 | 2014-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619580909 | Maureen Elizabeth Shelley | Pharmacist | 1212 Pico St Rm 141, San Fernando, CA 91340-3503 | 2020-08-26 |
| 1295351419 | Alice Khalil | Pharmacist | 7555 Van Nuys Blvd # 1071, Van Nuys, CA 91405-1949 | 2020-06-23 |
| 1235752304 | Hang-thu Thi Nguyen | Pharmacist | 4131 Geary Blvd Ste B10, San Francisco, CA 94118-3101 | 2020-05-24 |
| 1861013609 | Karine Wong | Pharmacist | 8264 Noelle Dr, Huntington Beach, CA 92646-6928 | 2020-05-04 |
| 1023656683 | Kenny Tavoc | Pharmacist | 275 N El Cielo Rd Ste C325, Palm Springs, CA 92262-6972 | 2019-12-13 |
| 1124665294 | Paula Kyonghwa Kang | Pharmacist | 23444 Coyote Springs Dr, Diamond Bar, CA 91765-2652 | 2019-12-06 |
| 1194373985 | Louis Ho | Pharmacist | 1225 Wilshire Blvd Ste 201, Los Angeles, CA 90017-1901 | 2019-08-27 |
| 1669026076 | Alan Nguyen | Pharmacist | 1190 Veterans, Cypress Building, Medical Station E, Redwood City, CA 94603-9460 | 2019-07-25 |
| 1174175871 | Patrick Febre | Pharmacist | 3651 Business Dr Ste 100, Sacramento, CA 95820-2176 | 2019-07-12 |
| 1659835866 | Patti Chung | Pharmacist | 200 Medical Plaza Ste 426, Los Angeles, CA 90095-0001 | 2019-01-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.