Siskin'S San Carlos Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY32600 Issued in CA

Legal business name

SISKIN'S SAN CARLOS PHARMACY INC

Practice address

825 Laurel St
San Carlos, CA 94070-3914

Phone

(650) 591-9636

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Siskin

Title

President

Phone

(650) 591-9636

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1013001429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703914",
            "telephone_number": "650-591-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISKIN'S SAN CARLOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "SISKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-591-9636"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY32600",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0585933",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in San Carlos, CA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.