Palace Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

29855 Issued in CA

Legal business name

PALACE PHARMACY

Practice address

2800 Geneva Ave
Daly City, CA 94014-1523

Phone

(415) 467-5232

Fax

(415) 467-5234

NPI assigned

Dec 22, 2005

Organization subpart

No

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

Authorized official

Name

John LC Lee, PHARM D.

Title

Pharmacist

Phone

(415) 467-5232

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Lees Family Investments Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Lees Family Investments Inc

  • Community/Retail Pharmacy
  • San Francisco, CA
  • NPI 1629018379
  NPD tax ID

Locations

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053397950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GENEVA AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141523",
            "telephone_number": "415-467-5232",
            "fax_number": "415-467-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GENEVA AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141523",
            "telephone_number": "415-467-5232",
            "fax_number": "415-467-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALACE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LC",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "415-467-5232",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "29855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA222270",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/NABP",
            "identifier": "0531219",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pacific Spine & Joint Medical Group
• Pacifica Daly 2 LP
• Pacifica Daly LLC
• Mico Pagkalinawan, PT, DPT
• Tomalika Ahsan Paik, M.D
• Yesenia Palacios, RD
• Elizabeth Palkovacs, MD
• Darcy Palmer, ASW
• Rose Marie Palos Kessler, LCSW
• Alfred A Paminiano

• Pharmacist in Daly City, CA
• Providers in Daly City, CA by specialty
• Pharmacist in California

• 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.

Verify at the official NPI Registry.