Organization Active NPI

Parnassus Heights Pharmacy

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1205856762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46641 Issued in CA
Legal business name
PARNASSUS HEIGHTS PHARMACY
Practice address
350 Parnassus Ave Ste 100
San Francisco, CA 94117-3608
Phone
(415) 564-9191
Fax
(415) 566-9751
NPI assigned
Jul 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Dudum
Title
Manager/Owner
Phone
(415) 564-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY46641 CA Primary

Addresses

Primary practice location

350 Parnassus Ave Ste 100
San Francisco, CA 94117-3608

Mailing address

350 Parnassus Ave Ste 100
San Francisco, CA 94117-3608
Phone (415) 564-9191

Other identifiers 1

IdentifierTypeStateIssuer
PHA466410MedicaidCA

National Provider Directory

National Provider Directory

Locations

350 Parnassus Ave
Ste 100
San Francisco, CA 94117
Phone (415) 564-9191

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205856762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-564-9191",
            "fax_number": "415-566-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PARNASSUS AVE STE 100",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173608",
            "telephone_number": "415-564-9191",
            "fax_number": "415-566-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARNASSUS HEIGHTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUDUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "415-564-9191"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.