Active NPI
Dynamedic Drugs Inc
Doing business as Leo's Medical Center Pharmacy
- Durable Medical Equipment & Medical Supplies
- Oakland, CA
National Provider Identifier
1154312551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PHY47437
- Legal business name
- DYNAMEDIC DRUGS INC
- Doing business as
- Leo's Medical Center Pharmacy
- Practice address
- 411 30TH St
Oakland, CA 94609-3303 - Phone
- (510) 834-3100
- Fax
- (510) 834-2988
- NPI assigned
- Nov 3, 2005
- 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
- Mr. Larry T Bui
- Title
- President
- Phone
- (510) 839-7900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PHY47437 | CA | Primary |
| Community/Retail Pharmacy | 3336C0003X | PHY47437 | CA |
Addresses
Primary practice location
411 30TH St
Oakland, CA 94609-3303
Mailing address
411 30TH St
Oakland, CA 94609-3303
Phone (510) 834-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA474370 | Medicaid | CA |
Other names 1
- Leo's Medical Center Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Dynamedic Drugs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Leo's Day & Night Pharmacy
- Durable Medical Equipment & Medical Supplies
- Oakland, CA
- NPI 1760481170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1154312551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 30TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093303",
"telephone_number": "510-834-3100",
"fax_number": "510-834-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 30TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093303",
"telephone_number": "510-834-3100",
"fax_number": "510-834-2988"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMEDIC DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-03",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BUI",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-839-7900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "PHY47437",
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY47437",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA474370",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Leo's Medical Center Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.