Oriental Twin Dragons LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY30804 Issued in CA

Legal business name

ORIENTAL TWIN DRAGONS LTD

Doing business as

Estudillo Pharmacy

Practice address

215 Estudillo Ave
San Leandro, CA 94577-4721

Phone

(510) 483-5744

Fax

(510) 483-5785

NPI assigned

Jan 30, 2007

Last updated

Dec 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bill Ham

Title

Sec Tres

Phone

(510) 483-5744

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ESTUDILLO PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1770629388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774721",
            "telephone_number": "510-483-5744",
            "fax_number": "510-483-5785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIENTAL TWIN DRAGONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "SEC TRES",
        "authorized_official_telephone_number": "510-483-5744"
    },
    "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": "PHY30804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0580969",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0580969",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESTUDILLO PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Options Recovery Services
• Dorothy Ndidiamaka Orakwe
• Jonathan Orbeta
• Sara Isabel Ordaz
• Gema J Ordonez
• Yolanda Ruth Ornelas
• Maria Orozco Coronado, PPSC
• Orrin Franko MD
• Alexandra Ortega, D.O.
• Clarissa Adriana Ortega, SUDRC

• Community/Retail Pharmacy in San Leandro, CA
• Providers in San Leandro, 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 Dec 5, 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.