Organization Active NPI

Tib Pharmacy LLC

  • Compounding Pharmacy
  • Newark, CA
National Provider Identifier
1942828587
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
Legal business name
TIB PHARMACY LLC
Practice address
5886 Mowry School Rd
Newark, CA 94560-5367
Phone
(510) 573-0064
Fax
(510) 573-0096
NPI assigned
Jul 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Authorized official

Name
Naweed Muhammad, PHARMACIST
Title
President
Phone
(510) 573-0064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X Primary

Addresses

Primary practice location

5886 Mowry School Rd
Newark, CA 94560-5367

Mailing address

5886 Mowry School Rd
Newark, CA 94560-5367
Phone (510) 573-0064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1942828587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5886 MOWRY SCHOOL RD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-573-0064",
            "fax_number": "510-573-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5886 MOWRY SCHOOL RD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-573-0064",
            "fax_number": "510-573-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIB PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "NAWEED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-573-0064",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.