NPIMap

Organization Active NPI

AIDS Healthcare Foundation

Doing business as Ahf Pharmacy

  • Specialty Pharmacy
  • Oakland, CA
National Provider Identifier
1831357581
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
Legal business name
AIDS HEALTHCARE FOUNDATION
Doing business as
Ahf Pharmacy
Practice address
400 30TH St
Ste 300
Oakland, CA 94609-3306
Phone
(510) 628-0954
Fax
(888) 844-8455
NPI assigned
May 29, 2008
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Kenneth Scott Carruthers, PHARMD
Title
Chief of Pharmacy
Phone
(323) 860-5266

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X 49055 CA
Specialty Pharmacy 3336S0011X NU Primary

Addresses

Primary practice location

400 30TH St
Ste 300
Oakland, CA 94609-3306

Mailing address

18421 S Main St
Gardena, CA 90248-4609
Phone (310) 999-6089

Other identifiers 2

IdentifierTypeStateIssuer
1831357581MedicaidCA
2113587OtherPK

Other names 1

  • AHF PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20080119000086 CA Part B Supplier - Pharmacy 2668369109 14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sherman Oaks, CA; Long Beach, CA; San Ysidro, CA; San Francisco, CA; San Diego, CA; Los Angeles, CA; Oakland, CA; Beverly Hills, CA
O20170510000142 CA DME Supplier - Pharmacy 2668369109 Practice locations: Oakland, CA
O20170728002422 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2668369109 13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sherman Oaks, CA; San Francisco, CA; San Diego, CA; Oakland, CA; Los Angeles, CA; Beverly Hills, CA; Long Beach, CA

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
AIDS Healthcare Foundat93 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1831357581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18421 S MAIN ST",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484609",
            "telephone_number": "310-999-6089",
            "fax_number": "833-261-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 30TH ST",
            "address_2": "STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093306",
            "telephone_number": "510-628-0954",
            "fax_number": "888-844-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS HEALTHCARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "KENNETH SCOTT",
        "authorized_official_title_or_position": "CHIEF OF PHARMACY",
        "authorized_official_telephone_number": "323-860-5266",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "49055",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831357581",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2113587",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AHF PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AHF 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 Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.