Fruitvale Medical Center Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY35207 Issued in CA

Legal business name

FRUITVALE MEDICAL CENTER PHARMACY

Practice address

3024 International Blvd
Oakland, CA 94601-2204

Phone

(510) 535-1005

Fax

(510) 535-9374

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Kuo Liang Yang

Title

Pharmacist Owner

Phone

(510) 535-1005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1972594448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012204",
            "telephone_number": "510-535-1005",
            "fax_number": "510-535-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 INTERNATIONAL BLVD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946012204",
            "telephone_number": "510-535-1005",
            "fax_number": "510-535-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITVALE MEDICAL CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "KUO LIANG",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "510-535-1005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY35207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALAMEDA ALLIANCE",
            "identifier": "0594538",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fruge' Psychological Associates, Inc.
• Magalie M Fruhinsholz
• Fruits of Labor, LLC
• Fruitvale Avenue Pharmacy Inc
• Fruitvale Long Term Care LLC
• Fruitvale Operating Company, LP
• Francesca Fruto
• Edward John Fry, L.AC., DIPL. OM
• Alexander Frye
• Jason Frye, L.AC.

• Pharmacy in Oakland, CA
• Providers in Oakland, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.