Active NPI
Solano Pharmacy
- Community/Retail Pharmacy
- Concord, CA
National Provider Identifier
1558765628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SOLANO PHARMACY
- Practice address
- 2172 Solano Way
Concord, CA 94520-4700 - Phone
- (925) 332-5141
- Fax
- (925) 332-5143
- NPI assigned
- Oct 17, 2014
- 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
- Nkechi Caroline Onuoha, RPH
- Title
- Pharmacist-in-Charge
- Phone
- (925) 984-4168
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
2172 Solano Way
Concord, CA 94520-4700
Mailing address
2172 Solano Way
Concord, CA 94520-4700
Phone (925) 332-5141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558765628 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150620000039 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880905686 |
1 other NPI on this enrollment Practice locations: Concord, CA; San Francisco, CA |
| O20160407000594 | CA | DME Supplier - Pharmacy | 4880905686 | Practice locations: Concord, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Solano Pharmacy
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- San Francisco, CA
- NPI 1437993979
-
- Long Term Care Pharmacy
- Pittsburg, CA
- NPI 1477373322
-
- Community/Retail Pharmacy
- Pittsburg, CA
- NPI 1497575344
-
- Long Term Care Pharmacy
- Concord, CA
- NPI 1871337436
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1891437018
Locations
2172 Solano Way
Concord, CA 94520
Phone (925) 332-5141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1558765628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2172 SOLANO WAY",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204700",
"telephone_number": "925-332-5141",
"fax_number": "925-332-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2172 SOLANO WAY",
"city": "CONCORD",
"state": "CA",
"postal_code": "945204700",
"telephone_number": "925-332-5141",
"fax_number": "925-332-5143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLANO PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-17",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "ONUOHA",
"authorized_official_first_name": "NKECHI",
"authorized_official_middle_name": "CAROLINE",
"authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
"authorized_official_telephone_number": "925-984-4168",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558765628",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.