NPIMap

Organization Active NPI

San Bruno Jail Pharmacy CJ#7

  • Prison Health Clinic/Center
  • San Bruno, CA
National Provider Identifier
1245063940
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
SAN BRUNO JAIL PHARMACY CJ#7
Practice address
1 Moreland Dr
San Bruno, CA 94066
Phone
(650) 266-7577
Fax
(650) 266-1740
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Lisa Pratt, MD
Title
Director, Jail Health Services
Phone
(415) 995-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X Primary

Addresses

Primary practice location

1 Moreland Dr
San Bruno, CA 94066

Mailing address

1 Moreland Dr
San Bruno, CA 94066
Phone (650) 266-7577

National Provider Directory

National Provider Directory
Tax ID family
San Francisco HLTH Ctr141 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1245063940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MORELAND DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-266-7577",
            "fax_number": "650-266-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MORELAND DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "94066",
            "telephone_number": "650-266-7577",
            "fax_number": "650-266-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN BRUNO JAIL PHARMACY CJ#7",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR, JAIL HEALTH SERVICES",
        "authorized_official_telephone_number": "415-995-1701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bruno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.