NPIMap

Organization Active NPI

John Muir Medical Ctr Concord Campus

  • Institutional Pharmacy
  • Concord, CA
National Provider Identifier
1720126717
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Institutional PharmacyTaxonomy code 3336I0012X
License
HSP42916 Issued in CA
Legal business name
JOHN MUIR MEDICAL CTR CONCORD CAMPUS
Practice address
2540 East St
Concord, CA 94520-1906
Phone
(925) 674-2130
Fax
(925) 674-2037
NPI assigned
Feb 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Mike Thomas
Title
Ceo
Phone
(925) 941-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Institutional Pharmacy 3336I0012X HSP42916 CA Primary

Addresses

Primary practice location

2540 East St
Concord, CA 94520-1906

Mailing address

2540 East St
Concord, CA 94520-1906
Phone (925) 674-2130

Other identifiers 2

IdentifierTypeStateIssuer
2035752OtherPK
PHOB97460MedicaidCA

Other names 1

  • JOHN MUIR MEDICAL CENTER CONCORD CAMPUS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Private OB Medical Grou8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1720126717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 EAST ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201906",
            "telephone_number": "925-674-2130",
            "fax_number": "925-674-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 EAST ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201906",
            "telephone_number": "925-674-2130",
            "fax_number": "925-674-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MUIR MEDICAL CTR CONCORD CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-941-2100"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "CA",
            "license": "HSP42916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2035752",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHOB97460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN MUIR MEDICAL CENTER CONCORD CAMPUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.