NPIMap

Organization Active NPI

Los Altos Pharmacy Inc.

  • Community/Retail Pharmacy
  • Los Altos, CA
National Provider Identifier
1316042658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
42953 Issued in CA
Legal business name
LOS ALTOS PHARMACY INC.
Practice address
255 2ND St
Los Altos, CA 94022-3627
Phone
(650) 948-1212
Fax
(650) 949-2269
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bart NelsonNPI 1619215068
Title
Owner/Pharmacist
Phone
(650) 948-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 42953 CA Primary

Addresses

Primary practice location

255 2ND St
Los Altos, CA 94022-3627

Mailing address

255 2ND St
Los Altos, CA 94022-3627
Phone (650) 948-1212

Other identifiers 1

IdentifierTypeStateIssuer
0535053OtherCANCPDP #

National Provider Directory

National Provider Directory

Locations

255 2nd St
Los Altos, CA 94022
Phone (650) 948-1212

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316042658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 2ND ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223627",
            "telephone_number": "650-948-1212",
            "fax_number": "650-949-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 2ND ST",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940223627",
            "telephone_number": "650-948-1212",
            "fax_number": "650-949-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ALTOS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BART",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "650-948-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "42953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "0535053",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.