Organization Active NPI

Pharmkee, Inc.

  • Pharmacy
  • San Joaquin, CA
National Provider Identifier
1982785010
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY38015 Issued in CA
Legal business name
PHARMKEE, INC.
Practice address
21890 Colorado Avenue
Suite a
San Joaquin, CA 93660
Phone
(559) 693-4339
Fax
(559) 693-1080
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Douglas K Wilcox, PHARM.D.
Title
Director
Phone
(559) 693-4339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X PHY38015 CA Primary

Addresses

Primary practice location

21890 Colorado Avenue
Suite a
San Joaquin, CA 93660

Mailing address

PO Box 782
21890 Colorado Ave, Suite a
San Joaquin, CA 93660-0782
Phone (559) 693-4339

Other identifiers 2

IdentifierTypeStateIssuer
PHA380150MedicaidCA
0527854OtherCANCPDP

Other names 1

  • San Joaquin Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

21890 W Colorado Ave
Ste A
San Joaquin, CA 93660
Phone (559) 693-4339

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1982785010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782",
            "address_2": "21890 COLORADO AVE, SUITE A",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "936600782",
            "telephone_number": "559-693-4339",
            "fax_number": "559-693-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21890 COLORADO AVENUE",
            "address_2": "SUITE A",
            "city": "SAN JOAQUIN",
            "state": "CA",
            "postal_code": "93660",
            "telephone_number": "559-693-4339",
            "fax_number": "559-693-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMKEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-693-4339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY38015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA380150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "0527854",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Joaquin Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Joaquin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.