Vale Road Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54297 Issued in CA

Legal business name

VALE ROAD PHARMACY LLC

Practice address

2023 Vale Rd Ste 101
San Pablo, CA 94806-3891

Phone

(510) 232-2377

Fax

(510) 234-7181

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Snehaben Patel, RPHNPI 1467893503

Title

Owner, Pic, Ao

Phone

(510) 232-2377

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• VALE ROAD PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Vale Road Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vale Road Pharmacy LLC

  • Long Term Care Pharmacy
  • San Pablo, CA
  • NPI 1477198133
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Snehaben Patel

  • Pharmacist
  • San Pablo, CA
  • NPI 1467893503
  NPD Authorized official

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1295195147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 VALE RD STE 101",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063891",
            "telephone_number": "510-232-2377",
            "fax_number": "510-234-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 VALE RD STE 101",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063891",
            "telephone_number": "510-232-2377",
            "fax_number": "510-234-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALE ROAD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SNEHABEN",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "510-232-2377",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2159257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALE ROAD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ujima Family Recovery Services
• Nneka Geraldine Umeh, FNP/PHMNP
• University Healthcare Alliance
• Aparna Upadhyaya, NP
• Vale Operating Company LP
• Vale Road Pharmacy LLC
• Vale Road Podiatry
• William Albert Van Dyk, DDS
• Jacqueline Marie Van Voerkens
• Teresa Marie Van Woy, DPM

• Community/Retail Pharmacy in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.