Organization Active NPI

Bayrx LLC

Doing business as Mike's Pharmacy

  • Pharmacy
  • Oakland, CA
National Provider Identifier
1821326919
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY50028 Issued in CA
Legal business name
BAYRX LLC
Doing business as
Mike's Pharmacy
Practice address
2700 International Blvd Ste a
Oakland, CA 94601-1555
Phone
(510) 532-1002
Fax
(515) 532-1011
NPI assigned
Dec 1, 2009
Last updated
Jan 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Victoria Golunova, CPHT
Title
Owner / VP
Phone
(510) 532-1002

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY50028 CA Primary
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2700 International Blvd Ste a
Oakland, CA 94601-1555

Mailing address

2700 International Blvd Ste a
Oakland, CA 94601-1555
Phone (510) 532-1002

Other identifiers 1

IdentifierTypeStateIssuer
5636519OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • MIKE'S PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1821326919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011555",
            "telephone_number": "510-532-1002",
            "fax_number": "515-532-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011555",
            "telephone_number": "510-532-1002",
            "fax_number": "515-532-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "GOLUNOVA",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER / VP",
        "authorized_official_telephone_number": "510-532-1002",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50028",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5636519",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIKE'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.