NPIMap

Organization Active NPI

New Oakland Pharmacy 1

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1114917952
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY43359 Issued in CA
Legal business name
NEW OAKLAND PHARMACY 1
Practice address
333 9TH St
Oakland, CA 94607-4211
Phone
(510) 628-0368
Fax
(510) 628-0323
NPI assigned
Oct 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Mr. Kam S Tam, PHARM.D.NPI 1033588942
Title
VP
Phone
(510) 813-8687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY43359 CA Primary

Addresses

Primary practice location

333 9TH St
Oakland, CA 94607-4211

Mailing address

333 9TH St
Oakland, CA 94607-4211
Phone (510) 628-0368

Other identifiers 1

IdentifierTypeStateIssuer
PHA433590MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
New Tiburcio Vasquez Health Center Pharmacy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

333 9th St
Oakland, CA 94607
Phone (510) 628-0368

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1114917952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 9TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074211",
            "telephone_number": "510-628-0368",
            "fax_number": "510-628-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 9TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946074211",
            "telephone_number": "510-628-0368",
            "fax_number": "510-628-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW OAKLAND PHARMACY 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "KAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "510-813-8687",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY43359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA433590",
            "state": "CA"
        }
    ],
    "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 29, 2024; 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.