Rolling Oaks Pharmacy Inc

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

PHY46918 Issued in CA

Legal business name

ROLLING OAKS PHARMACY INC

Doing business as

Rolling Oaks Pharmacy

Practice address

325 E Rolling Oaks Dr #140a
Thousand Oaks, CA 91361-1077

Phone

(805) 557-1006

Fax

(805) 557-1706

NPI assigned

Jan 30, 2007

Last updated

Jun 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amal Zein, RPH MHA

Title

Pres / Ceo

Phone

(805) 557-1006

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• ROLLING OAKS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Daniel Ray Starnes, RPH

  • Pharmacist
  • Thousand Oaks, CA
  • NPI 1679187678
  NPD
• Amal H Zein Amodeo, RPH

  • Pharmacist
  • Thousand Oaks, CA
  • NPI 1376980987
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1336285956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E ROLLING OAKS DR #140A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611077",
            "telephone_number": "805-557-1006",
            "fax_number": "805-557-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E ROLLING OAKS DR #140A",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611077",
            "telephone_number": "805-557-1006",
            "fax_number": "805-557-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLLING OAKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "ZEIN",
        "authorized_official_first_name": "AMAL",
        "authorized_official_title_or_position": "PRES / CEO",
        "authorized_official_telephone_number": "805-557-1006",
        "authorized_official_credential": "RPH MHA"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "PHY46918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244708 00",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336285956",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5614424",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHARMACY LICENSE",
            "identifier": "PHY46918",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROLLING OAKS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Pollonais Roff
• Roger K. Leir
• Audrey Nicole Roghair
• Brian Roke
• Rolling Oaks Health Services (Rolling Oaks Pharmacy, Inc.)
• Rolling Oaks Radiology Medical Corp Corporation
• Rolling Oaks Surgery Center LLC
• Amanda Romero
• Kayla Mae Romero, RDN
• Samantha Romero, LCSW, CADC-III

• Specialty Pharmacy in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Specialty Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.