LG Pharmacies, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50030 Issued in CA

Legal business name

LG PHARMACIES, LLC

Doing business as

San Miguel Pharmacy

Practice address

1620 High St
Suite 2B
Oakland, CA 94601-4536

Phone

(650) 842-8790

Fax

(510) 842-8789

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Uriel Chavez

Title

Owner/LLC Manager

Phone

(510) 842-8790

Specialties & licenses 1

Addresses

Other names 1

• San Miguel Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1487885604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946014536",
            "telephone_number": "650-842-8790",
            "fax_number": "510-842-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946014536",
            "telephone_number": "650-842-8790",
            "fax_number": "510-842-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "URIEL",
        "authorized_official_title_or_position": "OWNER/LLC MANAGER",
        "authorized_official_telephone_number": "510-842-8790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Miguel Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.