NPIMap

Organization Active NPI

Specialty Pharmacies, Inc.

  • Pharmacy
  • Oakland, CA
National Provider Identifier
1457532590
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SPECIALTY PHARMACIES, INC.
Practice address
465 2ND St
Oakland, CA 94607-3839
Phone
(510) 835-0774
NPI assigned
Nov 16, 2007
Organization subpart
Yes
Parent organization
ALLION HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Russell J. Fichera
Title
Senior Vice President and Treasurer
Phone
(508) 297-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

465 2ND St
Oakland, CA 94607-3839

Mailing address

45 Melville Park Rd
Melville, NY 11747-3109
Phone (631) 547-6531

Other identifiers 3

IdentifierTypeStateIssuer
5628803OtherCANCPDP
PHY 50166OtherCASTATE LICENSE
PHA 50166MedicaidCA

Other names 1

  • 2nd Street Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
2ND Street Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1457532590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MELVILLE PARK RD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473109",
            "telephone_number": "631-547-6531",
            "fax_number": "631-547-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 2ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946073839",
            "telephone_number": "510-835-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLION HEALTHCARE, INC.",
        "enumeration_date": "2007-11-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FICHERA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "508-297-1018"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5628803",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHY 50166",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 50166",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • 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.