Pharmpak, Inc

Primary specialty

Mail Order PharmacyTaxonomy code 3336M0002X

License

WLS2834 Issued in CA

Legal business name

PHARMPAK, INC

Practice address

1221 Andersen Dr Ste B
San Rafael, CA 94901-5337

Phone

(415) 455-9981

Fax

(415) 455-8445

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Mark Horne, PHARMACIST

Title

President

Phone

(415) 455-9981

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1588923700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 ANDERSEN DR STE B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015337",
            "telephone_number": "415-455-9981",
            "fax_number": "415-455-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ANDERSEN DR STE B",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949015337",
            "telephone_number": "415-455-9981",
            "fax_number": "415-455-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMPAK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-455-9981",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CA",
            "license": "WLS2834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen J Pfaeffle, M.A.
• Nhan Pham
• Denny Phan, RDAEF
• Jennifer Phan
• Thao Phan
• Shawna L Pharo
• Bill Phawn
• Brian Douglas Phifer
• Stephen Scott Phillips, MD
• Kelly Alastair Phipps, CLEC

• Mail Order Pharmacy in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Mail Order Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.