Organization Active NPI

Tony G Bastian Pharmacy Inc.

Doing business as Joe's Pharmacy

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1730231895
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY32668 Issued in CA
Legal business name
TONY G BASTIAN PHARMACY INC.
Doing business as
Joe's Pharmacy
Practice address
5199 Geary Blvd
San Francisco, CA 94118-2815
Phone
(415) 751-2326
Fax
(415) 751-2328
NPI assigned
Jan 17, 2007
Last updated
Oct 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Authorized official

Name
Mr. Tony G Bastian, RPH
Title
President
Phone
(415) 751-2326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY32668 CA
Community/Retail Pharmacy 3336C0003X PHY32668 CA Primary

Addresses

Primary practice location

5199 Geary Blvd
San Francisco, CA 94118-2815

Mailing address

5199 Geary Blvd
San Francisco, CA 94118-2815
Phone (415) 751-2326

Other names 1

  • JOE'S PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120926000281 CA Part B Supplier - Pharmacy 5496872434 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

5199 Geary Blvd
San Francisco, CA 94118
Phone (415) 751-2326

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1730231895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182815",
            "telephone_number": "415-751-2326",
            "fax_number": "415-751-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182815",
            "telephone_number": "415-751-2326",
            "fax_number": "415-751-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY G BASTIAN PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "BASTIAN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-751-2326",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY32668",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY32668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOE'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.