Oak Grove Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47487 Issued in CA

Legal business name

OAK GROVE PHARMACY INC

Practice address

1750 El Camino Real Ste 101
Burlingame, CA 94010-3210

Phone

(650) 692-1686

Fax

(650) 692-0859

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Cathy Padelford

Title

President

Phone

(650) 692-1686

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• 1750 MEDICAL CENTER PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1336150911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940111038",
            "telephone_number": "650-692-1686",
            "fax_number": "650-692-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 101",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103210",
            "telephone_number": "650-692-1686",
            "fax_number": "650-692-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK GROVE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "PADELFORD",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-692-1686"
    },
    "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": "PHY47487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033127",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA19638",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1750 MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Burlingame, CA
• Providers in Burlingame, 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 Sep 13, 2016; 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.