Clay Medical Pharmacy & Medical Supply, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHY 30828 Issued in CA

Legal business name

CLAY MEDICAL PHARMACY & MEDICAL SUPPLY, INC.

Doing business as

Clay Medical Pharmacy

Practice address

929 Clay St Ste 103
San Francisco, CA 94108-1568

Phone

(415) 956-5456

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick K. C. NG, RPH

Title

President

Phone

(415) 956-5456

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Clay Medical Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1134260417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 CLAY ST., SUITE 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081556",
            "telephone_number": "415-956-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 CLAY ST STE 103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081568",
            "telephone_number": "415-956-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY MEDICAL PHARMACY & MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "NG",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "K. C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-956-5456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "PHY 30828",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA218900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhoda Mae Villanueva Clavel
• Ariana Maria Clavell
• Javier Clavijo Jr.
• Stephanie Clavijo, MD
• Ellie Claxton, PT, DPT
• Grant Clay
• Manika L Clay
• Reuben A Clay Jr., MD
• Rickey Edward Clay, LVN
• Tia Clay, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.