Active NPI
Pharmkee, Inc.
- Pharmacy
- San Joaquin, CA
National Provider Identifier
1982785010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PHY38015
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA380150 | Medicaid | CA | |
| 0527854 | Other | CA | NCPDP |
Other names 1
- San Joaquin Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.