Organization Active NPI

Oasis Pharmacy LLC

  • Community/Retail Pharmacy
  • Oxnard, CA
National Provider Identifier
1760171078
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OASIS PHARMACY LLC
Practice address
2650 E Vineyard Ave
Oxnard, CA 93036-1615
Phone
(805) 919-0055
Fax
(805) 919-0101
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Sora Yoon, PHARMDNPI 1659743367
Title
Owner
Phone
(805) 919-0055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2650 E Vineyard Ave
Oxnard, CA 93036-1615

Mailing address

2650 E Vineyard Ave
Oxnard, CA 93036-1615
Phone (805) 919-0055

Other names 1

  • Spring Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240514001377 CA Part B Supplier - Mass Immunization (Roster Biller Only) 8628417185 Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory
Tax ID family
Oasis Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2650 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 814-0689

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1760171078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 E VINEYARD AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361615",
            "telephone_number": "805-919-0055",
            "fax_number": "805-919-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 E VINEYARD AVE",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930361615",
            "telephone_number": "805-919-0055",
            "fax_number": "805-919-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "SORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-919-0055",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.