Organization Active NPI

Go Red Corporation

  • Community/Retail Pharmacy
  • Oakland, CA
National Provider Identifier
1952397044
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
48609 Issued in CA
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

Updated by the provider on Jan 20, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2066917OtherPK
PHA486090MedicaidCA

Other names 1

  • NORTH OAKLAND PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Go Red Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.