NPIMap

Organization Active NPI

Oakland Pharmacy Inc.

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1891052502
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY50907 Issued in CA
Legal business name
OAKLAND PHARMACY INC.
Practice address
250 E 18TH St
3Rd Floor
Oakland, CA 94606-1729
Phone
(510) 628-0878
Fax
(510) 628-0765
NPI assigned
Apr 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Kam Tam
Title
VP
Phone
(510) 813-8687

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PHY50907 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

250 E 18TH St
3Rd Floor
Oakland, CA 94606-1729

Mailing address

250 E 18TH St
3Rd Floor
Oakland, CA 94606-1729
Phone (510) 628-0878

Other identifiers 1

IdentifierTypeStateIssuer
5643588OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • New Oakland Pharmacy - Lake Merritt Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New Tiburcio Vasquez Health Center Pharmacy12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

250 E 18th St
Fl 3
Oakland, CA 94606
Phone (510) 628-0878

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1891052502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E 18TH ST",
            "address_2": "3RD FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061729",
            "telephone_number": "510-628-0878",
            "fax_number": "510-628-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E 18TH ST",
            "address_2": "3RD FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946061729",
            "telephone_number": "510-628-0878",
            "fax_number": "510-628-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "510-813-8687"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY50907",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5643588",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Oakland Pharmacy - Lake Merritt",
            "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 Apr 19, 2012; 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.