Organization Active NPI

Royal Medical Inc

  • Community/Retail Pharmacy
  • Berkeley, CA
National Provider Identifier
1982638573
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHA415390 Issued in CA
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

Updated by the provider on Aug 18, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
PHY415390MedicaidCA

Other names 1

  • United Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.