Active NPI
CVS Pharmacy
- Community/Retail Pharmacy
- Oakland, CA
National Provider Identifier
1063947570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 74633
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.