NPI Code Details Logo

NPI 1124982087

NPI 1124982087 : KAYLA HAMILTON EHRENBERGER PHARMD : RICHMOND, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1124982087
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    KAYLA HAMILTON EHRENBERGER PHARMD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/15/2025
-----------------------------------------------------
    Last Update Date     |    12/15/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2151 MEEKER AVE 
-----------------------------------------------------
    City                 |    RICHMOND
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94804-6410
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    510-231-5922
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    173 CAPRICE CIR 
-----------------------------------------------------
    City                 |    HERCULES
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94547-2082
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    303-502-7471
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    61451428
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    91709
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.