NPIMap

Organization Active NPI

Specialty Pharmacies Inc

  • Pharmacy
  • Oakland, CA
National Provider Identifier
1669661237
Registry record updated Oct 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
SPECIALTY PHARMACIES INC
Practice address
465 2ND Street
Oakland, CA 94607
Phone
(510) 835-0774
Fax
(510) 628-0415
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2007

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

Authorized official

Name
Mr. Michael P Moran
Title
President and Ceo
Phone
(631) 547-6520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

465 2ND Street
Oakland, CA 94607

Mailing address

1660 Walt Whitman Rd
Suite 105
Melville, NY 11747-4159
Phone (631) 547-6520

Other names 1

  • 2nd Street Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
2ND Street Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

465 2nd St
Oakland, CA 94607
Phone (510) 835-0774

1660 Walt Whitman Rd
Ste 105
Melville, NY 11747
Phone (631) 392-8815

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192752000000",
    "number": "1669661237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 WALT WHITMAN RD",
            "address_2": "SUITE 105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474159",
            "telephone_number": "631-547-6520",
            "fax_number": "631-249-5863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 2ND STREET",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94607",
            "telephone_number": "510-835-0774",
            "fax_number": "510-628-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "631-547-6520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "2nd Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.