Active NPI
Royal Medical Inc
- Community/Retail Pharmacy
- Berkeley, CA
National Provider Identifier
1982638573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHA415390
- Legal business name
- ROYAL MEDICAL INC
- Practice address
- 2929 Telegraph Ave
Berkeley, CA 94705-2017 - Phone
- (510) 843-3201
- Fax
- (510) 843-0308
- NPI assigned
- Jul 10, 2006
- 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
- Dr. Dr-Pam Gumbs, PHARM D.
- Title
- Ceo, Clinical Affairs
- Phone
- (510) 843-3201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHA415390 | CA | Primary |
Addresses
Primary practice location
2929 Telegraph Ave
Berkeley, CA 94705-2017
Mailing address
2929 Telegraph Ave
Berkeley, CA 94705-2017
Phone (510) 843-3201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY415390 | Medicaid | CA |
Other names 1
- United Pharmacy
National Provider Directory
National Provider DirectoryLocations
2929 Telegraph Ave
Berkeley, CA 94705
Phone (510) 540-0494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219017600000",
"number": "1982638573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-843-3201",
"fax_number": "510-843-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052017",
"telephone_number": "510-843-3201",
"fax_number": "510-843-0308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2008-08-18",
"status": "A",
"authorized_official_last_name": "GUMBS",
"authorized_official_first_name": "DR-PAM",
"authorized_official_title_or_position": "CEO, CLINICAL AFFAIRS",
"authorized_official_telephone_number": "510-843-3201",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHA415390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHY415390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "United Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.