Active NPI
BGC Pharmacy Inc
Doing business as Bobs Pharmacy
- Community/Retail Pharmacy
- Manteca, CA
National Provider Identifier
1770619173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY45115
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1996740 | Other | PK |
Other names 1
- BOBS PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Manteca, CA
- NPI 1316305832
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.