Alameda Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52058 Issued in CA

Legal business name

ALAMEDA PHARMACY LLC

Practice address

1555 Doolittle Dr Ste 160
San Leandro, CA 94577-2272

Phone

(510) 362-7255

Fax

(510) 362-7256

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Ardie Johnson

Title

Owner/Manager

Phone

(510) 362-7254

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Alameda Pharmacy, LLC Doing business as

Locations

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1649657172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOOLITTLE DR STE 160",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772272",
            "telephone_number": "510-362-7255",
            "fax_number": "510-362-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOOLITTLE DR STE 160",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772272",
            "telephone_number": "510-362-7255",
            "fax_number": "510-362-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMEDA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ARDIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "510-362-7254"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alameda Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alameda Health System
• Alameda Health System
• Alameda Health System
• Alameda Health System
• Alameda Health System
• Makenzie Alameda
• Radhika Alampalli, DDS
• Valerie Alba Lomeli, ACSW #129964
• Audrianna Monique Albano-Gonzales
• Dawn Albert

• Community/Retail Pharmacy in San Leandro, CA
• Providers in San Leandro, 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 Mar 6, 2017; 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.