Organization Active NPI

Thousand Cranes Pharmacy Inc

Doing business as Thousand Cranes Pharmacy

  • Long Term Care Pharmacy
  • San Francisco, CA
National Provider Identifier
1437242831
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
THOUSAND CRANES PHARMACY INC
Doing business as
Thousand Cranes Pharmacy
Practice address
1832 Buchanan St
#203
San Francisco, CA 94115-3252
Phone
(415) 409-4357
Fax
(415) 409-4355
NPI assigned
Sep 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Dr. Brian Toshiro Matsuno, PHARM.D.NPI 1700210325
Title
President/ Ceo
Phone
(415) 409-4357

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X Primary
Mail Order Pharmacy 3336M0002X

Addresses

Primary practice location

1832 Buchanan St
#203
San Francisco, CA 94115-3252

Mailing address

1832 Buchanan St
#203
San Francisco, CA 94115-3252
Phone (415) 409-4357

Other identifiers 3

IdentifierTypeStateIssuer
PHA463020MedicaidCA
0590566OtherCANCPDP
59193OtherCAPHARMACY LICENSE

Other names 1

  • Thousand Cranes Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Thousand Cranes Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1832 Buchanan St
Ste 203
San Francisco, CA 94115
Phone (415) 409-4357

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1437242831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 BUCHANAN ST",
            "address_2": "#203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153252",
            "telephone_number": "415-409-4357",
            "fax_number": "415-409-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 BUCHANAN ST",
            "address_2": "#203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153252",
            "telephone_number": "415-409-4357",
            "fax_number": "415-409-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOUSAND CRANES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MATSUNO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TOSHIRO",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "415-409-4357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA463020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0590566",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "59193",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thousand Cranes Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.