Webster Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WEBSTER PHARMACY

Practice address

1553 Webster St
Alameda, CA 94501-3341

Phone

(510) 522-3066

Fax

(510) 522-3669

NPI assigned

Sep 30, 2006

Organization subpart

Yes

Parent organization

WEBSTER PHARMACYAs reported in NPPES

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

Authorized official

Name

Ed Clark

Title

Pharmacist

Phone

(510) 522-3066

Specialties & licenses 2

Addresses

Other identifiers 2

Part of

Webster Pharmacy

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1851484281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 WEBSTER ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013341",
            "telephone_number": "510-522-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 WEBSTER ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013341",
            "telephone_number": "510-522-3066",
            "fax_number": "510-522-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEBSTER PHARMACY",
        "enumeration_date": "2006-09-30",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "510-522-3066"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY170130",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA170130",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0527931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory James Way
• Abby Wayne
• Hiyam Houd Wazwaz
• Webb Ave Dentistry
• Grace Susan Webber-Dibley
• Elizabeth Weinstein
• Jack Weitzman, LCSW
• Ada Wells, PT
• Isabel Welsh
• Mindy Shumin Wen, NP

• Community/Retail Pharmacy in Alameda, CA
• Providers in Alameda, 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 Jul 9, 2008; 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.