NPIMap

Organization Active NPI

University of California San Francisco

Doing business as UCSF Outpatient Pharmacy at MIssion Bay

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1548031289
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Doing business as
UCSF Outpatient Pharmacy at MIssion Bay
Practice address
520 Illinois Street
Ste D1201
San Francisco, CA 94158
Phone
(415) 514-3717
NPI assigned
Jan 11, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF CALIFORNIA SAN FRANCISCOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Charlotte Canari
Title
Exec Director, Government Reimb
Phone
(415) 353-4739

Specialties & licenses 1

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

Addresses

Primary practice location

520 Illinois Street
Ste D1201
San Francisco, CA 94158

Mailing address

520 Illinois Street
Ste D1201, Box 0108
San Francisco, CA 94158
Phone (415) 514-3717

Other names 1

  • UCSF Outpatient Pharmacy at MIssion Bay Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241119001476 CA DME Supplier - Pharmacy 4486567229 Practice locations: San Francisco, CA
O20250919001137 CA Part B Supplier - Pharmacy 4486567229 1 other NPI on this enrollment
Practice locations: San Francisco, CA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
UCSF Outpatient Pharmacy Missionbay520 Illinois St, Box 4086, San Francisco, CA 94158-4086(415) 514-3717 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Apr 25, 2002

National Provider Directory

National Provider Directory
Tax ID family
UCSF Internal Med GRP80 organizations share this tax ID, including this one
Part of
UCSF Internal Med GRP

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

520 Illinois St
Rm D1201
San Francisco, CA 94143

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UCSF Medical CenterSan Francisco, CA, CCN 050454 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2000
UCSF Benioff Childrens Hospital OaklandOakland, CA, CCN 053301 Hospital Other Jan 1, 2014
UCSF Langley Porter Hospital and ClinicsSan Francisco, CA, CCN 054144 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
UCSF Health - St. Mary's HospitalSan Francisco, CA, CCN 050457 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1548031289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 ILLINOIS STREET",
            "address_2": "STE D1201, BOX 0108",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94158",
            "telephone_number": "415-514-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ILLINOIS STREET",
            "address_2": "STE D1201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94158",
            "telephone_number": "415-514-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CALIFORNIA SAN FRANCISCO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CANARI",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "EXEC DIRECTOR, GOVERNMENT REIMB",
        "authorized_official_telephone_number": "415-353-4739"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCSF Outpatient Pharmacy at MIssion Bay",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UCSF Outpatient Pharmacy at MIssion Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.