Big a Drug Store Inc
Organization Active NPI Community/Retail Pharmacy · Colma, CA
NPI 1164511713 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1164511713
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BIG A DRUG STORE INC
- Practice address
- 4925 Junipero Serra Blvd
Colma, CA 94014-3216 - Phone
- (650) 997-3985
- Fax
- (650) 994-8739
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Edward Dallal, RPH
- Title
- President
- Phone
- (562) 633-9578
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Big a Drug Stores Inc
Locations
4925 Junipero Serra Blvd
Colma, CA 94014
Phone (650) 997-3985
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY43396 | CA | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
4925 Junipero Serra Blvd
Colma, CA 94014-3216
Mailing address
4925 Junipero Serra Blvd
Colma, CA 94014-3216
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA433960 | Medicaid | CA | |
| 0547743 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER |
Other names
- DRUG BARN
Other providers in Colma, CA
- Aoc Angels of Care LLC
- Barbdio Group of Companies Inc
- Jennifer Cavan
- Famous City Transportation Inc.
- Garfield Beach CVS LLC
- Hillary Jean Gerster
- Bernard James Haidler
All providers in Colma, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.