NPIMap

Organization Active NPI

San Francisco General Hospital Outpatient Pharmacy

  • Pharmacy
  • San Francisco, CA
National Provider Identifier
1447288634
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
HPE 17392 Issued in CA
Legal business name
SAN FRANCISCO GENERAL HOSPITAL OUTPATIENT PHARMACY
Practice address
1001 Potrero Ave
Outpatient Pharmacy
San Francisco, CA 94110-3518
Phone
(415) 206-3265
Fax
(415) 206-3800
NPI assigned
Jun 28, 2006
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Fred Hom, PHARM D
Title
Director of Pharmacy
Phone
(415) 206-3265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X HPE 17392 CA Primary

Addresses

Primary practice location

1001 Potrero Ave
Outpatient Pharmacy
San Francisco, CA 94110-3518

Mailing address

1001 Potrero Ave
Outpatient Pharmacy
San Francisco, CA 94110-3518
Phone (415) 206-3265

Other identifiers 1

IdentifierTypeStateIssuer
PHB173920MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
SFCC Department of Public Health141 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1447288634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-3265",
            "fax_number": "415-206-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "OUTPATIENT PHARMACY",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-3265",
            "fax_number": "415-206-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN FRANCISCO GENERAL HOSPITAL OUTPATIENT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "415-206-3265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "HPE 17392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHB173920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 16, 2008; 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.