NPIMap

Organization Active NPI

Linden Pharmacy

  • Pharmacy
  • Linden, CA
National Provider Identifier
1013078195
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
LINDEN PHARMACY
Practice address
19047 Main St
Linden, CA 95236-9492
Phone
(209) 887-3397
Fax
(209) 887-2772
NPI assigned
Dec 13, 2006
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Mr. Andrew J. Magnasco, PHARM D
Title
Vice President
Phone
(209) 887-3397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

19047 Main St
Linden, CA 95236-9492

Mailing address

PO Box 679
Linden, CA 95236
Phone (209) 887-3397

Other identifiers 1

IdentifierTypeStateIssuer
PHY32300MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Charter Way Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19047 Main St
Linden, CA 95236
Phone (209) 887-3397

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": "1188950400000",
    "number": "1013078195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "LINDEN",
            "state": "CA",
            "postal_code": "95236",
            "telephone_number": "209-887-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19047 MAIN ST",
            "city": "LINDEN",
            "state": "CA",
            "postal_code": "952369492",
            "telephone_number": "209-887-3397",
            "fax_number": "209-887-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MAGNASCO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "209-887-3397",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY32300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.