NPIMap

Organization Active NPI

Monteagle Medical Center Pharmacy

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1598985673
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
186360 Issued in CA
Legal business name
MONTEAGLE MEDICAL CENTER PHARMACY
Practice address
1580 Valencia St.
San Francisco, CA 94110
Phone
(415) 641-6550
Fax
(415) 641-6713
NPI assigned
Apr 30, 2007
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Mr. Grant Davies
Title
Sr. VP of Operation
Phone
(415) 600-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 186360 CA Primary

Addresses

Primary practice location

1580 Valencia St.
San Francisco, CA 94110

Mailing address

1580 Valencia St.
San Francisco, CA 94110
Phone (415) 641-6550

National Provider Directory

National Provider Directory
Tax ID family
Childrens Hosp Pharmacy62 organizations share this tax ID, including this one

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

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1598985673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-641-6550",
            "fax_number": "415-641-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST.",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "415-641-6550",
            "fax_number": "415-641-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEAGLE MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "SR. VP OF OPERATION",
        "authorized_official_telephone_number": "415-600-3790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "186360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.