Organization Active NPI

Olive City Pharmacy Inc

Doing business as Olive City Pharmacy

  • Community/Retail Pharmacy
  • Corning, CA
National Provider Identifier
1477926228
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
53852 Issued in CA
Legal business name
OLIVE CITY PHARMACY INC
Doing business as
Olive City Pharmacy
Practice address
954 Highway 99W
Corning, CA 96021-2706
Phone
(530) 824-0954
Fax
(844) 618-0657
NPI assigned
Nov 2, 2015
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
David Williams
Title
Owner, Pic, Ao
Phone
(530) 824-0954

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 53852 CA Primary

Addresses

Primary practice location

954 Highway 99W
Corning, CA 96021-2706

Mailing address

PO Box 266
Orland, CA 95963-0266
Phone (530) 514-0422

Other identifiers 2

IdentifierTypeStateIssuer
2157817OtherPK
1477926228MedicaidCA

Other names 1

  • OLIVE CITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

954 Highway 99W
Corning, CA 96021
Phone (530) 824-0954

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1477926228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959630266",
            "telephone_number": "530-514-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 HIGHWAY 99W",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212706",
            "telephone_number": "530-824-0954",
            "fax_number": "844-618-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, PIC, AO",
        "authorized_official_telephone_number": "530-824-0954"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "53852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157817",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477926228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLIVE CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.