Elephant Pharmacy Operating Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY47279 Issued in CA

Legal business name

ELEPHANT PHARMACY OPERATING CORP

Practice address

909 Grand Ave
San Rafael, CA 94901-3505

Phone

(415) 462-6001

Fax

(415) 462-6003

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Sickley

Title

President

Phone

(510) 868-3021

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Elephant Pharmacy Operating Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Elephant Pharmacy Operating Corp

  • Pharmacist
  • Berkeley, CA
  • NPI 1740276286
  NPD tax ID
• Elephant Pharmacy Operating Corporation

  • Pharmacist
  • Walnut Creek, CA
  • NPI 1881733046
  NPD tax ID

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1760427900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 9TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 GRAND AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013505",
            "telephone_number": "415-462-6001",
            "fax_number": "415-462-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEPHANT PHARMACY OPERATING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "SICKLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-868-3021"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY47279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5617189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5617189",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayah El-Beshbeeshy, RD
• Monica Elden, MFT
• Eldercare Specialists of California LLC
• Amelia Whitney Eldridge, PA-C
• Elena Vince D C a Chiropractic Corp
• Meghan Assenmacher Elfsten, SUD
• Emad S. Elgendy, D.D.S.
• Charles D Elias, LCSW, PHD
• Catherine Margret Eliaser, MARRIAGE AND FAMILY
• Chantal Elizaga

• Community/Retail Pharmacy in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.