Organization Active NPI

Vitacare Pharmacy Inc.

Doing business as Vitacare Pharmacy

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1760815781
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
51535 Issued in CA
Legal business name
VITACARE PHARMACY INC.
Doing business as
Vitacare Pharmacy
Practice address
2447 Telegraph Ave
Oakland, CA 94612-2404
Phone
(510) 832-7500
Fax
(510) 832-2009
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Yonathan Seyoum, RPH
Title
Owner, Ao, Phcy Manager, Pic
Phone
(510) 832-7500

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 51535 CA Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

2447 Telegraph Ave
Oakland, CA 94612-2404

Mailing address

2447 Telegraph Ave
Oakland, CA 94612-2404
Phone (510) 832-7500

Other identifiers 2

IdentifierTypeStateIssuer
0010540MedicaidCA
2141663OtherPK

Other names 1

  • VITACARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

2447 Telegraph Ave
Oakland, CA 94612
Phone (510) 832-7500

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1760815781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122404",
            "telephone_number": "510-832-7500",
            "fax_number": "510-832-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122404",
            "telephone_number": "510-832-7500",
            "fax_number": "510-832-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITACARE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SEYOUM",
        "authorized_official_first_name": "YONATHAN",
        "authorized_official_title_or_position": "OWNER,  AO, PHCY MANAGER, PIC",
        "authorized_official_telephone_number": "510-832-7500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "51535",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141663",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITACARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.