Organization Active NPI

Medical Specialty Pharmacy

  • Community/Retail Pharmacy
  • Northridge, CA
National Provider Identifier
1801807391
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50945 Issued in CA
Legal business name
MEDICAL SPECIALTY PHARMACY
Practice address
18433 Roscoe Blvd
Northridge, CA 91325-4108
Phone
(818) 993-7333
Fax
(818) 993-7191
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Rodney Okamoto
Title
President, Ao
Phone
(916) 685-5034

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY50945 CA Primary

Addresses

Primary practice location

18433 Roscoe Blvd
Northridge, CA 91325-4108

Mailing address

C/O Nutrishare
9854 Kent St
Elk Grove, CA 95624
Phone (616) 685-5034

Other identifiers 1

IdentifierTypeStateIssuer
2136091OtherPK

Other names 1

  • Medical Center Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

9854 Kent St
Elk Grove, CA 95624

18433 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-7507

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1801807391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O NUTRISHARE",
            "address_2": "9854 KENT ST",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95624",
            "telephone_number": "616-685-5034",
            "fax_number": "916-685-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254108",
            "telephone_number": "818-993-7333",
            "fax_number": "818-993-7191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "OKAMOTO",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "PRESIDENT, AO",
        "authorized_official_telephone_number": "916-685-5034"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.