NPIMap

Organization Active NPI

Specialty Pharmacies, Inc.

  • Pharmacy
  • San Francisco, CA
National Provider Identifier
1972551687
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY 50167 Issued in CA
Legal business name
SPECIALTY PHARMACIES, INC.
Practice address
191 Golden Gate Ave
San Francisco, CA 94102-3809
Phone
(415) 255-0516
Fax
(415) 255-0937
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Russell J. Fichera
Title
Senior Vice President and Treasurer
Phone
(508) 297-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY 50167 CA Primary

Addresses

Primary practice location

191 Golden Gate Ave
San Francisco, CA 94102-3809

Mailing address

191 Golden Gate Ave
San Francisco, CA 94102-3809
Phone (415) 255-0516

Other identifiers 3

IdentifierTypeStateIssuer
0585464OtherNCPDP PROVIDER ID
PHA 50167MedicaidCA
PHY 50167OtherCASTATE LICENSE

Other names 1

  • Castro Street Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
2ND Street Pharmacy6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

191 Golden Gate Ave
San Francisco, CA 94102
Phone (415) 255-0516

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1972551687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 GOLDEN GATE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023809",
            "telephone_number": "415-255-0516",
            "fax_number": "415-255-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 GOLDEN GATE AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023809",
            "telephone_number": "415-255-0516",
            "fax_number": "415-255-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY PHARMACIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "FICHERA",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "508-297-1018"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY 50167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER ID",
            "identifier": "0585464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA 50167",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PHY 50167",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castro Street 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 Mar 7, 2023; 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.