NPIMap

Organization Active NPI

University of California San Francisco

Doing business as UCSF Ambulatory Pharmacy

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1265481089
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHE44791 Issued in CA
Legal business name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Doing business as
UCSF Ambulatory Pharmacy
Practice address
505 Parnassus Ave
RM M39
San Francisco, CA 94143-2204
Phone
(415) 353-1544
NPI assigned
May 9, 2006
Last updated
Feb 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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

Authorized official

Name
Ms. Sheila Antrum
Title
Sr VP/Chief Operating Officer
Phone
(415) 353-2733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHE44791 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
RM M39
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave
RM M39
San Francisco, CA 94143-2204
Phone (415) 370-5283

Other identifiers 3

IdentifierTypeStateIssuer
0552441OtherCANABP
PHE44791OtherCAPHARMACY PERMIT
PH0000Z10MedicaidCA

Other names 1

  • UCSF Ambulatory Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930060650 CA DME Supplier - Pharmacy 4486567229 Practice locations: San Francisco, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
UCSF Mt Zion HSP Eeg Op80 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

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

505 Parnassus Ave
#106
San Francisco, CA 94143
Phone (415) 476-3831

505 Parnassus Ave
Rm M39
San Francisco, CA 94143
Phone (415) 353-1544

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UCSF Medical CenterSan Francisco, CA, CCN 050454 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2000
UCSF Benioff Childrens Hospital OaklandOakland, CA, CCN 053301 Hospital Other Jan 1, 2014
UCSF Langley Porter Hospital and ClinicsSan Francisco, CA, CCN 054144 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
UCSF Health - St. Mary's HospitalSan Francisco, CA, CCN 050457 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708819200000",
    "number": "1265481089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "address_2": "RM M39",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-370-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "address_2": "RM M39",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "ANTRUM",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "SR VP/CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "415-353-2733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHE44791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "0552441",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY PERMIT",
            "identifier": "PHE44791",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH0000Z10",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Ambulatory Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.