Mike'S Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY228790 Issued in CA

Legal business name

MIKE'S PHARMACY, INC

Practice address

2647 International Blvd
Ste 106
Oakland, CA 94601-1537

Phone

(510) 533-4130

Fax

(510) 533-0980

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Michael Natali

Title

Ceo and Founder

Phone

(570) 533-4130

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MIKE'S ST JOSEPH PHARMACY Doing business as

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1295829604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 INTERNATIONAL BLVD",
            "address_2": "STE 106",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2647 INTERNATIONAL BLVD",
            "address_2": "STE 106",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011537",
            "telephone_number": "510-533-4130",
            "fax_number": "510-533-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "NATALI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "570-533-4130"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY228790",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0578382",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA228790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIKE'S ST JOSEPH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genevieve Karen Mignone
• Dario Miguel-Perez, DDS
• Corina Lidia Mihailescu, MA,
• Evelyn Michiko Mihata, RNMS
• Ariana Mijangos
• Anna Mikhalkina
• Patricia Flora Mikkelsen, LMFT
• Agnes Miklos-Illes
• Osvaldo Mila
• Jean Milam, LCSW

• Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.