Organization Active NPI

BGC Pharmacy Inc

Doing business as Bobs Pharmacy

  • Community/Retail Pharmacy
  • Manteca, CA
National Provider Identifier
1770619173
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY45115 Issued in CA
Legal business name
BGC PHARMACY INC
Doing business as
Bobs Pharmacy
Practice address
629 E Yosemite Ave
Manteca, CA 95336-5801
Phone
(209) 823-2174
Fax
(209) 823-2176
NPI assigned
Feb 27, 2007
Last updated
Sep 19, 2025By the provider in NPPES
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
Brian Cole
Title
Owner
Phone
(209) 823-2174

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY45115 CA Primary

Addresses

Primary practice location

629 E Yosemite Ave
Manteca, CA 95336-5801

Mailing address

629 E Yosemite Ave
Manteca, CA 95336
Phone (209) 823-2174

Other identifiers 1

IdentifierTypeStateIssuer
1996740OtherPK

Other names 1

  • BOBS PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

629 E Yosemite Ave
Manteca, CA 95336
Phone (209) 823-2174

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1770619173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 E YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "95336",
            "telephone_number": "209-823-2174",
            "fax_number": "209-823-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 E YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365801",
            "telephone_number": "209-823-2174",
            "fax_number": "209-823-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-823-2174"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY45115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOBS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manteca, 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.