Fruitvale Avenue Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50064 Issued in CA

Legal business name

FRUITVALE AVENUE PHARMACY INC

Practice address

2693 Fruitvale Ave
Oakland, CA 94601-2034

Phone

(510) 261-1412

Fax

(510) 261-1414

NPI assigned

Oct 22, 2009

Organization subpart

No

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

Authorized official

Name

Kalpesh Patel, RPH

Title

Pharmacist/Owner

Phone

(510) 406-3089

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Fruitvale Avenue Pharmacy inc Doing business as

Locations

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1619203841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 MACARTHUR BLVD STE B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052939",
            "telephone_number": "510-261-1412",
            "fax_number": "510-261-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 FRUITVALE AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012034",
            "telephone_number": "510-261-1412",
            "fax_number": "510-261-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITVALE AVENUE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "510-406-3089",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50064",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2122526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fruitvale Avenue Pharmacy inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessika Fruchter
• Shawn Lee Fruge, PSY18275
• Fruge' Psychological Associates, Inc.
• Magalie M Fruhinsholz
• Fruits of Labor, LLC
• Fruitvale Long Term Care LLC
• Fruitvale Medical Center Pharmacy
• Fruitvale Operating Company, LP
• Francesca Fruto
• Edward John Fry, L.AC., DIPL. OM

• Community/Retail Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.