Boies Medical Center Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

52538 Issued in CA

Legal business name

BOIES MEDICAL CENTER PHARMACY INC

Practice address

6110 Fair Oaks Blvd
Ste #E
Carmichael, CA 95608-4872

Phone

(916) 978-0866

Fax

(877) 914-2220

NPI assigned

Nov 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tareq Ahmad Al Mughazzez, R.PH.NPI 1558790014

Title

Ceo

Phone

(650) 743-3235

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Optimal Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Tareq Ahmad Al Mughazzez

  • Pharmacist
  • Oakdale, CA
  • NPI 1558790014
  NPD Authorized official
• An Chun Kwan, PHARMD

  • Pharmacist
  • Carmichael, CA
  • NPI 1174864151
  NPD (past)
• Emma Nguyen

  • Pharmacist
  • Carmichael, CA
  • NPI 1508619750
  NPD (past)
• Scott Nguyen, PHARMD

  • Pharmacist
  • Carmichael, CA
  • NPI 1083929921
  NPD (past)
• Cynthia Nicole Kit Fong Yee, PHARMD

  • Pharmacist
  • Carmichael, CA
  • NPI 1245832740
  NPD (past)

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1144400706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 FAIR OAKS BLVD.",
            "address_2": "STE #E",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084873",
            "telephone_number": "916-978-0856",
            "fax_number": "877-914-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 FAIR OAKS BLVD",
            "address_2": "STE #E",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956084872",
            "telephone_number": "916-978-0866",
            "fax_number": "877-914-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOIES MEDICAL CENTER PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-12",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "AL MUGHAZZEZ",
        "authorized_official_first_name": "TAREQ",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-743-3235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "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": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "52538",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2128945",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144400706",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blueberry Hill Senior Living, Inc.
• Benjamin Evan Bluth, M.D.
• Joanna Malgorzata Bodas, M.S, CCC-SLP
• Shannon M Boddy, OTR/L
• Adina Alexandra Bodolan, M.D.
• Joey Roque C Boiser, MD
• Heather Ellen Bollier, BSW
• Kyle Bonacquisti, DPT
• Sarah Bondy
• Christina Borgman, MSW

• Long Term Care Pharmacy in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.