Active NPI
Rockforth Pharmacy
- Community/Retail Pharmacy
- San Leandro, CA
National Provider Identifier
1134583735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- ROCKFORTH PHARMACY
- Doing business as
- ROCKFORTH PHARMACY
- Practice address
- 14624 E 14TH St
San Leandro, CA 94578-2817 - Phone
- (510) 878-7681
- Fax
- (510) 969-4705
- NPI assigned
- Apr 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Okwuegbe
- Title
- Owner
- Phone
- (510) 589-5989
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
14624 E 14TH St
San Leandro, CA 94578-2817
Mailing address
PO Box 20663
Castro Valley, CA 94546-8663
Phone (510) 878-7681
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2159602 | Other | PK |
Other names 1
- ROCKFORTH PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Rockforth Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Oakland, CA
- NPI 1821337528
Locations
14624 E 14th St
San Leandro, CA 94578
Phone (510) 878-7681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461024000000",
"number": "1134583735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20663",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945468663",
"telephone_number": "510-878-7681",
"fax_number": "510-969-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14624 E 14TH ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945782817",
"telephone_number": "510-878-7681",
"fax_number": "510-969-4705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKFORTH PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-09",
"last_updated": "2016-04-19",
"status": "A",
"authorized_official_last_name": "OKWUEGBE",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-589-5989"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2159602",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROCKFORTH PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.