Organization Active NPI

Ingram'S Pharmacy, LLC

  • Community/Retail Pharmacy
  • Bakersfield, CA
National Provider Identifier
1154824514
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55762 Issued in CA
Legal business name
INGRAM'S PHARMACY, LLC
Practice address
1703 27TH St
Bakersfield, CA 93301-2807
Phone
(661) 864-7216
Fax
(661) 843-7368
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Mrs. Eva A Hammond, RPHNPI 1114435971
Title
Pharmacist-in-Charge/Owner
Phone
(661) 864-7216

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY55762 CA Primary

Addresses

Primary practice location

1703 27TH St
Bakersfield, CA 93301-2807

Mailing address

1703 27TH St
Bakersfield, CA 93301-2807
Phone (661) 864-7216

Other identifiers 1

IdentifierTypeStateIssuer
2176109OtherPK

Other names 1

  • Ingram's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

1703 27th St
Bakersfield, CA 93301
Phone (661) 706-7410

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1154824514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 27TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012807",
            "telephone_number": "661-864-7216",
            "fax_number": "661-843-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 27TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012807",
            "telephone_number": "661-864-7216",
            "fax_number": "661-843-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRAM'S PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "EVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/OWNER",
        "authorized_official_telephone_number": "661-864-7216",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingram's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ingram's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.