Active NPI
HS Pharmacy Inc
Doing business as High Street Pharmacy
- Community/Retail Pharmacy
- Oakland, CA
National Provider Identifier
1558468397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY48720
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA310990 | Medicaid | CA | |
| 2066894 | Other | PK |
Other names 1
- HIGH STREET PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Oakland, CA
- NPI 1952731507
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.