Active NPI
Go Red Corporation
- Community/Retail Pharmacy
- Oakland, CA
National Provider Identifier
1952397044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 48609
- Legal business name
- GO RED CORPORATION
- Practice address
- 5705 Market St
Oakland, CA 94608-2811 - Phone
- (510) 652-7536
- Fax
- (510) 652-5388
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudhir Reddy, PHRMD
- Title
- Owner
- Phone
- (510) 652-7536
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Clinic Pharmacy | 3336C0002X | |||
| Community/Retail Pharmacy | 3336C0003X | 48609 | CA | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
5705 Market St
Oakland, CA 94608-2811
Mailing address
5705 Market St
Oakland, CA 94608-2811
Phone (510) 652-7536
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2066917 | Other | PK | |
| PHA486090 | Medicaid | CA |
Other names 1
- NORTH OAKLAND PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Go Red Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Oakland, CA
- NPI 1780885533
Locations
5705 Market St
Oakland, CA 94608
Phone (510) 652-7536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1952397044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5705 MARKET ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946082811",
"telephone_number": "510-652-7536",
"fax_number": "510-652-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 MARKET ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946082811",
"telephone_number": "510-652-7536",
"fax_number": "510-652-5388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GO RED CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SUDHIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "510-652-7536",
"authorized_official_credential": "PHRMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"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": "48609",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2066917",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA486090",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTH OAKLAND PHARMACY",
"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 Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.