Organization Active NPI

CVS Pharmacy

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1063947570
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
74633 Issued in CA
Legal business name
CVS PHARMACY
Practice address
2609 Ivy Dr
Apt 16
Oakland, CA 94606-2192
Phone
(808) 256-8510
NPI assigned
Apr 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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

Authorized official

Name
Edwina Yin Ching Leung, PHARMD
Title
Pharmacist
Phone
(808) 256-8510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 74633 CA Primary
Community/Retail Pharmacy 3336C0003X 74633 HI

Addresses

Primary practice location

2609 Ivy Dr
Apt 16
Oakland, CA 94606-2192

Mailing address

2609 Ivy Dr
Apt 16
Oakland, CA 94606-2192
Phone (808) 256-8510

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492905600000",
    "number": "1063947570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 IVY DR",
            "address_2": "APT 16",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062192",
            "telephone_number": "808-256-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 IVY DR",
            "address_2": "APT 16",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062192",
            "telephone_number": "808-256-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-23",
        "last_updated": "2017-04-23",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_middle_name": "YIN CHING",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "808-256-8510",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "74633",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "HI",
            "license": "74633",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; 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.