Organization Active NPI

Oakdale Pharmacy Inc

Doing business as Oakdale Pharmacy

  • Community/Retail Pharmacy
  • Encino, CA
National Provider Identifier
1831131655
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY39428 Issued in CA
Legal business name
OAKDALE PHARMACY INC
Doing business as
Oakdale Pharmacy
Practice address
5400 Balboa Blvd Ste 100
Encino, CA 91316-1598
Phone
(818) 788-0770
Fax
(818) 788-0550
NPI assigned
Jun 13, 2006
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Richard Kane, PHARMDNPI 1770570665
Title
Pic
Phone
(818) 788-0770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY39428 CA Primary

Addresses

Primary practice location

5400 Balboa Blvd Ste 100
Encino, CA 91316-1598

Mailing address

5400 Balboa Blvd Ste 100
Encino, CA 91316-1598
Phone (818) 788-0770

Other names 1

  • OAKDALE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

5400 Balboa Blvd
Ste 100
Encino, CA 91316
Phone (818) 788-0770

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKDALE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encino, CA

Sources for this page

  • 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.