Active NPI
Charter Way Pharmacy
- Pharmacy
- Stockton, CA
National Provider Identifier
1013078187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- CHARTER WAY PHARMACY
- Practice address
- 201 W Charter Wy
Stockton, CA 95206 - Phone
- (209) 466-2223
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Louis Magnasco, PHARMD
- Title
- Vice President
- Phone
- (209) 466-0411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
201 W Charter Wy
Stockton, CA 95206
Mailing address
201 W Charter Wy
Stockton, CA 95206
Phone (209) 466-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY20560 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Charter Way Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Linden, CA
- NPI 1013078195
-
- Pharmacy
- Stockton, CA
- NPI 1467513549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013078187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W CHARTER WY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95206",
"telephone_number": "209-466-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W CHARTER WY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95206",
"telephone_number": "209-466-2223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARTER WAY PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAGNASCO",
"authorized_official_first_name": "LOUIS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "209-466-0411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHY20560",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.