Pacific Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PACIFIC PHARMACY

Practice address

600 International Blvd. #105
Oakland, CA 94606-2986

Phone

(510) 451-3234

Fax

(510) 451-3230

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Loi PhamNPI 1356950869

Title

Owner

Phone

(510) 451-3234

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Loi Pham, PHARMACIST

  • Community/Retail Pharmacy
  • Oakland, CA
  • NPI 1356950869

  Pharmacist

  NPD Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1790849701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 INTERNATIONAL BLVD. #105",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062986",
            "telephone_number": "510-451-3234",
            "fax_number": "510-451-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 INTERNATIONAL BLVD. #105",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062986",
            "telephone_number": "510-451-3234",
            "fax_number": "510-451-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2025-08-20",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "LOI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-451-3234"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "45477",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356950869",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA404730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raul A Pacheco
• Renee T. Pacheco, MD
• Vivian Pacheco
• Pacific Imaging Consultants, a Medical Group, Inc.
• Pacific Medical, Inc.
• Pacific Psychiatric Associates
• Pacifica Oakland LLC
• Jin Packard, MD
• Kayla Packnett
• Tessa Padilla Padilla Fisher

• Community/Retail Pharmacy in Oakland, CA
• Providers in Oakland, 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 Aug 20, 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.