Brookvale Medical Center Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY22575 Issued in CA

Legal business name

BROOKVALE MEDICAL CENTER PHARMACY

Doing business as

Park Pharmacy Inc

Practice address

2101 Vale Rd
Ste 100
San Pablo, CA 94806

Phone

(510) 235-4443

Fax

(510) 235-5527

NPI assigned

Jul 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cathy Thompson

Title

Manager

Phone

(510) 235-4441

Specialties & licenses 1

Addresses

Other names 1

• Park Pharmacy Inc Doing business as

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124033519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 VALE RD",
            "address_2": "STE 100",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-235-4443",
            "fax_number": "510-235-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 VALE RD",
            "address_2": "STE 100",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "94806",
            "telephone_number": "510-235-4443",
            "fax_number": "510-235-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKVALE MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "510-235-4441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY22575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Colleen Bray, PHARMD
• Alexandra Elisabeth Brewster
• Sarah Romanow Briand, CNM
• Brookside Community Health Center
• Brookside Community Health Center, Inc
• Jamelia La-Kenya Brown, SUDCC IV
• Ahsabi-Monique L Burris
• Monica Adriana Bush
• Ronald Caballero, REGISTERED NURSE
• Louise Cacatian

• Pharmacist in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.