Oakdale Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY39428 Issued in CA

Legal business name

OAKDALE PHARMACY INC

Practice address

5400 Balboa Blvd Ste 100
Encino, CA 91316-1598

Phone

(818) 788-0770

Fax

(818) 788-0550

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Richard Kane, PHARMD

Title

Pic

Phone

(818) 788-0770

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• OAKDALE PHARMACY Doing business as

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1831131655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161598",
            "telephone_number": "818-788-0770",
            "fax_number": "818-788-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161598",
            "telephone_number": "818-788-0770",
            "fax_number": "818-788-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "818-788-0770",
        "authorized_official_credential": "PHARMD"
    },
    "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": "PHY39428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2115759",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY212960",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101700001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer O'Brien
• Gail O'Connell
• Sharon Michele O'Connor, PH.D.
• Richard O'Dell, M.D.
• Kari O'Donnell, MSN, RN, FNP-C
• Oaks Counseling Center
• Lonell Obannon
• David Obsusin, L.AC.
• Isela Ocampo
• Ocean Drug Inc

• Community/Retail Pharmacy in Encino, CA
• Providers in Encino, 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 Feb 20, 2017; 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.