NPIMap

Organization Active NPI

Pharmatemp

  • Pharmacy
  • Modesto, CA
National Provider Identifier
1780129908
Registry record updated Dec 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
26560 Issued in CA
Legal business name
PHARMATEMP
Practice address
1120 Cedar Creek CT Apt 159
Modesto, CA 95355-5250
Phone
(209) 447-8475
NPI assigned
Dec 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2016

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

Authorized official

Name
Mr. Gordon Phillip KostNPI 1992231906
Title
RPH
Phone
(209) 447-8475

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 26560 CA Primary

Addresses

Primary practice location

1120 Cedar Creek CT Apt 159
Modesto, CA 95355-5250

Mailing address

1120 Cedar Creek CT Apt 159
Modesto, CA 95355-5250

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482624000000",
    "number": "1780129908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 CEDAR CREEK CT APT 159",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953555250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 CEDAR CREEK CT APT 159",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953555250",
            "telephone_number": "209-447-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMATEMP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-25",
        "last_updated": "2016-12-25",
        "status": "A",
        "authorized_official_last_name": "KOST",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "209-447-8475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "26560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2016; 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.