Organization Active NPI

Drate Pharmacy

  • Community/Retail Pharmacy
  • Berkeley, CA
National Provider Identifier
1467737643
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53329 Issued in CA
Legal business name
DRATE PHARMACY
Practice address
3219 Adeline St
Berkeley, CA 94703-2467
Phone
(510) 589-5989
Fax
(510) 969-4705
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Mr. Kenneth Okwuegbe
Title
Pharmacist in Charge
Phone
(510) 589-5989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 53329 CA Primary

Addresses

Primary practice location

3219 Adeline St
Berkeley, CA 94703-2467

Mailing address

3219 Adeline St
Berkeley, CA 94703-2467
Phone (510) 589-5989

Other identifiers 1

IdentifierTypeStateIssuer
53329OtherCACALIFORNIA STATE BOARD OF PHARMACY

National Provider Directory

National Provider Directory

Locations

3219 Adeline St
Berkeley, CA 94703
Phone (510) 589-5989

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1467737643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032467",
            "telephone_number": "510-589-5989",
            "fax_number": "510-969-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 ADELINE ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947032467",
            "telephone_number": "510-589-5989",
            "fax_number": "510-969-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRATE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "OKWUEGBE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "510-589-5989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "53329",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.