Provider Demographics
NPI:1437740677
Name:SAGUA, AKPEVWEOGHENE RUME (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:AKPEVWEOGHENE
Middle Name:RUME
Last Name:SAGUA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94543
Mailing Address - Country:US
Mailing Address - Phone:510-246-9804
Mailing Address - Fax:
Practice Address - Street 1:1617 CANYON DRIVE PINOLE
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94565
Practice Address - Country:US
Practice Address - Phone:510-724-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-31
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA756661835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA75666Medicaid
CA75666OtherCALIFORNIA STATE BOARD OF PHARMACY