NPIMap

Organization Active NPI

Oakdale Pharmacy

  • Pharmacy
  • Oakdale, CA
National Provider Identifier
1861912974
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
50734 Issued in CA
Legal business name
OAKDALE PHARMACY
Practice address
1390 W H St Ste F
Oakdale, CA 95361-3529
Phone
(209) 322-3745
Fax
(209) 322-2052
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Christen Kim, RPHNPI 1396029443
Title
Pic/Owner
Phone
(209) 322-3745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 50734 CA Primary

Addresses

Primary practice location

1390 W H St Ste F
Oakdale, CA 95361-3529

Mailing address

1390 W H St Ste F
Oakdale, CA 95361-3529
Phone (209) 322-3745

National Provider Directory

National Provider Directory

Locations

1390 W H St
Ste F
Oakdale, CA 95361
Phone (209) 322-3745

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1861912974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 W H ST STE F",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613529",
            "telephone_number": "209-322-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W H ST STE F",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613529",
            "telephone_number": "209-322-3745",
            "fax_number": "209-322-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTEN",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "209-322-3745",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "50734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.