Active NPI
Specialty Pharmacies Inc
Doing business as Moms Pharmacy
- Community/Retail Pharmacy
- San Francisco, CA
National Provider Identifier
1235187956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY50165
- Legal business name
- SPECIALTY PHARMACIES INC
- Doing business as
- Moms Pharmacy
- Practice address
- 4071 18TH St
San Francisco, CA 94114-2535 - Phone
- (415) 255-2720
- Fax
- (415) 255-0937
- NPI assigned
- May 5, 2006
- 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
- Donna Tempesta, R.PH.
- Title
- VP of Finance
- Phone
- (631) 547-6520
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY50165 | CA | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
4071 18TH St
San Francisco, CA 94114-2535
Mailing address
4071 18TH St
San Francisco, CA 94114-2535
Phone (415) 255-2720
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA473350 | Medicaid | CA | |
| 5617305 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- MOMS PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- 2ND Street Pharmacy
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
Locations
4071 18th St
San Francisco, CA 94114
Phone (415) 255-2720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346371200000",
"number": "1235187956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4071 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142535",
"telephone_number": "415-255-2720",
"fax_number": "415-255-0937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4071 18TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941142535",
"telephone_number": "415-255-2720",
"fax_number": "415-255-0937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPECIALTY PHARMACIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2012-08-31",
"status": "A",
"authorized_official_last_name": "TEMPESTA",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "631-547-6520",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY50165",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA473350",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "5617305",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MOMS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}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 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.