Organization Active NPI

Carepack Pharmacy LLC

  • Long Term Care Pharmacy
  • Antioch, CA
National Provider Identifier
1679359277
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CAREPACK PHARMACY LLC
Practice address
3700 Sunset LN Ste 7
Antioch, CA 94509-6123
Phone
(925) 665-0212
NPI assigned
Sep 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Shaista Mansoor
Title
Ceo
Phone
(925) 665-0212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

3700 Sunset LN Ste 7
Antioch, CA 94509-6123

Mailing address

3700 Sunset LN Ste 7
Antioch, CA 94509-6123
Phone (925) 665-0212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1679359277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN STE 7",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096123",
            "telephone_number": "925-665-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SUNSET LN STE 7",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096123",
            "telephone_number": "925-665-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPACK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MANSOOR",
        "authorized_official_first_name": "SHAISTA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-665-0212"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.