Stockton Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

STOCKTON PHARMACY

Practice address

3330 E Main St
Stockton, CA 95205

Phone

(209) 466-0411

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Louis Magnasco, PHARM D

Title

Vice President

Phone

(209) 466-0411

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Charter Way Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Charter Way Pharmacy

  • Pharmacy
  • Stockton, CA
  • NPI 1013078187
  NPD tax ID
• Linden Pharmacy

  • Pharmacy
  • Linden, CA
  • NPI 1013078195
  NPD tax ID

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1467513549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 E MAIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95205",
            "telephone_number": "209-466-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 E MAIN ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95205",
            "telephone_number": "209-466-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOCKTON PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "MAGNASCO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "209-466-0411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA390570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stockton Pain Medical Center
• Stockton Pathology Medical Group
• Stockton Pathology Medical Group
• Stockton Pediatric Med. Group, Inc.
• Stockton Pharmacy
• Stockton Physical Therapy and Lymphedema Clinic, Inc
• Stockton Pregnancy Control Medical Clinic
• Stockton Regional Rehabilitation Hospital LLC
• Stockton Sleep Center Inc
• Stockton Sleep Disorders Medical Group LP

• Pharmacy in Stockton, CA
• Providers in Stockton, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.