The Apothecary Eastmont Town Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46625 Issued in CA

Legal business name

THE APOTHECARY EASTMONT TOWN CENTER

Practice address

7200 Bancroft Ave
Suite #268
Oakland, CA 94605-2468

Phone

(510) 638-7323

Fax

(510) 430-2860

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ponder, PHARM.D.NPI 1154453447

Title

Pharmacy Manager

Phone

(510) 638-7323

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• The Apothecary Doing business as

Locations

Practitioners 3

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

• Michael Stanley Ponder, PHARM.D.

  • Pharmacist
  • Oakland, CA
  • NPI 1154453447
  NPD (past) Authorized official
• Yolanda Antoinette Jacobs, PHARM.D.

  • Pharmacist
  • Oakland, CA
  • NPI 1821184516
  NPD (past)
• John L Lee, PHARM. D.

  • Pharmacist
  • Oakland, CA
  • NPI 1336421478
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1376675751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE",
            "address_2": "SUITE #268",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052468",
            "telephone_number": "510-638-7323",
            "fax_number": "510-430-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE",
            "address_2": "SUITE #268",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052468",
            "telephone_number": "510-638-7323",
            "fax_number": "510-430-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE APOTHECARY EASTMONT TOWN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "510-638-7323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY STATE LICENSE",
            "identifier": "PHY46625",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466250",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5613193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Oakland, CA
• Providers in Oakland, 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 Mar 7, 2023; 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.