Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. KEVIN STUART TOM
Active
Individual
DR. KEVIN STUART TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42600
PHARMACIST LICENSE
CA
01
—
45399128
STATE TAX ID NUMBER
CA
01
—
PHA445700
MEDI-CAL ID NUMBER
CA
01
—
PHY44570
PHARMACY STATE LICENSE
CA
Enumeration date
09/13/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up