NPIMap

Organization Active NPI

Royal Pharmacy

  • Community/Retail Pharmacy
  • Millbrae, CA
National Provider Identifier
1093023822
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50333 Issued in CA
Legal business name
ROYAL PHARMACY
Practice address
1111 El Camino Real
Millbrae, CA 94030-2014
Phone
(650) 794-0380
Fax
(650) 794-0300
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Authorized official

Name
Eric Wong
Title
President/Pic
Phone
(650) 794-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY50333 CA Primary

Addresses

Primary practice location

1111 El Camino Real
Millbrae, CA 94030-2014

Mailing address

1111 El Camino Real
Millbrae, CA 94030-2014
Phone (650) 794-0380

Other identifiers 1

IdentifierTypeStateIssuer
5639135OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Royal Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1111 El Camino Real
Millbrae, CA 94030
Phone (650) 794-0380

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1093023822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302014",
            "telephone_number": "650-794-0380",
            "fax_number": "650-794-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 EL CAMINO REAL",
            "city": "MILLBRAE",
            "state": "CA",
            "postal_code": "940302014",
            "telephone_number": "650-794-0380",
            "fax_number": "650-794-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT/PIC",
        "authorized_official_telephone_number": "650-794-0380"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5639135",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.