Organization Active NPI

Integrated Medical Associated Pharmacy Inc

Doing business as Integrated Medical Associates Pharmacy Inc

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1114385143
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53705 Issued in CA
Legal business name
INTEGRATED MEDICAL ASSOCIATED PHARMACY INC
Doing business as
Integrated Medical Associates Pharmacy Inc
Practice address
10500 Macarthur Blvd # 103
Oakland, CA 94605-5248
Phone
(510) 382-1671
Fax
(510) 382-1688
NPI assigned
Feb 4, 2016
Last updated
Mar 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Authorized official

Name
Daniel Ogbuehi
Title
RPH
Phone
(510) 382-1671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 53705 CA Primary

Addresses

Primary practice location

10500 Macarthur Blvd # 103
Oakland, CA 94605-5248

Mailing address

10500 Macarthur Blvd # 103
Oakland, CA 94605-5248
Phone (510) 382-1671

Other identifiers 1

IdentifierTypeStateIssuer
2158249OtherPK

Other names 1

  • Integrated Medical Associates Pharmacy Inc Doing business as

National Provider Directory

National Provider Directory

Locations

10500 MacArthur Blvd
#103
Oakland, CA 94605
Phone (510) 382-1671

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1114385143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 MACARTHUR BLVD # 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055248",
            "telephone_number": "510-382-1671",
            "fax_number": "510-382-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 MACARTHUR BLVD # 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946055248",
            "telephone_number": "510-382-1671",
            "fax_number": "510-382-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL ASSOCIATED PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "OGBUEHI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "510-382-1671"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2158249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrated Medical Associates Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 25, 2016; 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.