Charlies Drug Store

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY34253 Issued in CA

Legal business name

CHARLIES DRUG STORE

Practice address

1101 Fillmore St
San Francisco, CA 94115-4711

Phone

(415) 567-0771

Fax

(415) 567-3342

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Nahla ShomanNPI 1992404206

Title

Owner

Phone

(415) 567-0771

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nahla Shoman

  • Community/Retail Pharmacy
  • San Francisco, CA
  • NPI 1992404206
  NPD (past) Authorized official
• Hank Chen, RPH

  • Pharmacist
  • San Francisco, CA
  • NPI 1447678925
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1629147152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 FILLMORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154711",
            "telephone_number": "415-567-0771",
            "fax_number": "415-567-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 FILLMORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154711",
            "telephone_number": "415-567-0771",
            "fax_number": "415-567-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES DRUG STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHOMAN",
        "authorized_official_first_name": "NAHLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-567-0771"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY34253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA342530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorene Irene Charles, AMFT
• Merl Arthur Charles, MD PHD
• Ricardo Charles, CRNA
• Sylvia Santhilakshmi Charles, M.D.
• Victoria Charles, LMFT
• Francis Joseph Charlton Jr., M.D.
• Natalie N Charlton, M.D.
• Heather Charmatz, DOULA
• Megan E Charney, CCC-SLP
• Richard Sherman Charney, D.C.

• Community/Retail Pharmacy in San Francisco, CA
• Providers in San Francisco, 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 30, 2008; 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.