Organization Active NPI

Nimble Pharmacy Inc

  • Community/Retail Pharmacy
  • San Francisco, CA
National Provider Identifier
1922513506
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NIMBLE PHARMACY INC
Doing business as
Nimble Pharmacy
Practice address
2200 Jerrold Ave Ste Q
San Francisco, CA 94124-1034
Phone
(866) 966-4625
NPI assigned
Dec 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Eva Ong
Title
Project Coordinator
Phone
(866) 966-4625

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

2200 Jerrold Ave Ste Q
San Francisco, CA 94124-1034

Mailing address

2200 Jerrold Ave Ste Q
San Francisco, CA 94124-1034

Other names 1

  • Nimble Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nimble Pharmacy Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

2200 Jerrold Ave
Ste Q
San Francisco, CA 94124

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1922513506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JERROLD AVE STE Q",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 JERROLD AVE STE Q",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241034",
            "telephone_number": "866-966-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMBLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "ONG",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "PROJECT COORDINATOR",
        "authorized_official_telephone_number": "866-966-4625"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nimble Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.