Organization Active NPI

HS Pharmacy Inc

Doing business as High Street Pharmacy

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1558468397
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48720 Issued in CA
Legal business name
HS PHARMACY INC
Doing business as
High Street Pharmacy
Practice address
4248 Macarthur Blvd
Oakland, CA 94619-1908
Phone
(510) 530-1335
Fax
(510) 531-8902
NPI assigned
Sep 20, 2006
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Gareen Avakion, RPH
Title
Owner and Pic
Phone
(510) 530-1335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY48720 CA Primary

Addresses

Primary practice location

4248 Macarthur Blvd
Oakland, CA 94619-1908

Mailing address

4248 Macarthur Blvd
Oakland, CA 94619-1908
Phone (510) 530-1335

Other identifiers 2

IdentifierTypeStateIssuer
PHA310990MedicaidCA
2066894OtherPK

Other names 1

  • HIGH STREET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4248 MacArthur Blvd
Oakland, CA 94619
Phone (510) 530-1335

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1558468397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191908",
            "telephone_number": "510-530-1335",
            "fax_number": "510-531-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4248 MACARTHUR BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946191908",
            "telephone_number": "510-530-1335",
            "fax_number": "510-531-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "AVAKION",
        "authorized_official_first_name": "GAREEN",
        "authorized_official_title_or_position": "OWNER AND PIC",
        "authorized_official_telephone_number": "510-530-1335",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA310990",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2066894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.