NPIMap

Organization Active NPI

John Muir Health

Doing business as John Muir Health Infusion Pharmacy

  • Pharmacy
  • Walnut Creek, CA
National Provider Identifier
1366208688
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
JOHN MUIR HEALTH
Doing business as
John Muir Health Infusion Pharmacy
Practice address
177 La Casa Via Ste 350
Walnut Creek, CA 94598-6101
Phone
(925) 925-6925
NPI assigned
Feb 23, 2024
Last updated
Apr 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN MUIR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Mike Thomas
Title
Ceo
Phone
(925) 941-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

177 La Casa Via Ste 350
Walnut Creek, CA 94598-6101

Mailing address

177 La Casa Via Ste 350
Walnut Creek, CA 94598-6101
Phone (925) 925-6925

Other names 1

  • John Muir Health Infusion Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240806003053 CA Part B Supplier - Pharmacy 9537197025 Practice locations: Walnut Creek, CA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mt Diablo Med Ctr7 organizations share this tax ID, including this one
Part of
Mt Diablo Med Ctr

Other organizations with this tax ID 6

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

Locations

2700 Grant St
Ste 102
Concord, CA 94520
Phone (925) 674-2052

2700 Grant St
Ste 300
Concord, CA 94520
Phone (925) 674-2125

2720 Grant St
Ste 3
Concord, CA 94520
Phone (925) 674-2351

177 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 296-7333

177 La Casa Via
Ste 350
Walnut Creek, CA 94598
Phone (925) 692-5655

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John Muir Medical Center - Concord CampusConcord, CA, CCN 050496 Hospital Operational/Managerial Control (100%) Sep 26, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • John Muir Health

    dba John Muir Health Medical Center, Concord Campus

    • General Acute Care Hospital
    • Concord, CA
    • NPI 1801821376

    Operational/Managerial Control

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1366208688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 LA CASA VIA STE 350",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945986101",
            "telephone_number": "925-925-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 LA CASA VIA STE 350",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945986101",
            "telephone_number": "925-925-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MUIR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN MUIR HEALTH",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-941-2100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Muir Health Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.