NPIMap

Organization Active NPI

Elephant Pharmacy Operating Corporation

Doing business as Elephant Pharm

  • Pharmacist
  • Walnut Creek, CA
National Provider Identifier
1881733046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
48392 Issued in CA
Legal business name
ELEPHANT PHARMACY OPERATING CORPORATION
Doing business as
Elephant Pharm
Practice address
1388 S California Blvd
Walnut Creek, CA 94596-5125
Phone
(925) 658-5301
Fax
(925) 658-5303
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sandra Sickley
Title
President
Phone
(510) 868-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 48392 CA Primary

Addresses

Primary practice location

1388 S California Blvd
Walnut Creek, CA 94596-5125

Mailing address

1250 9TH St
Berkeley, CA 94710-1501
Phone (510) 868-3021

Other identifiers 1

IdentifierTypeStateIssuer
48392OtherCABOARD OF PHARMACY LICENSE

Other names 1

  • Elephant Pharm Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Elephant Pharmacy Operating Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1250 9th St
Berkeley, CA 94710

1388 S California Blvd
Walnut Creek, CA 94596
Phone (800) 427-7973

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881733046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 9TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101501",
            "telephone_number": "510-868-3021",
            "fax_number": "510-868-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388 S CALIFORNIA BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965125",
            "telephone_number": "925-658-5301",
            "fax_number": "925-658-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEPHANT PHARMACY OPERATING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SICKLEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-868-3021",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "48392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY LICENSE",
            "identifier": "48392",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elephant Pharm",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.