Organization Active NPI

Oak Healthcare Inc

  • Long Term Care Pharmacy
  • Stockton, CA
National Provider Identifier
1992584437
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
OAK HEALTHCARE INC
Practice address
2339 W Hammer LN Ste J
Stockton, CA 95209-2368
Phone
(209) 477-7100
Fax
(209) 477-7111
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Amir Taj Khan, PHARM.D.
Title
Pharmacy Manager / President
Phone
(209) 477-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

2339 W Hammer LN Ste J
Stockton, CA 95209-2368

Mailing address

2339 W Hammer LN Ste J
Stockton, CA 95209-2368
Phone (209) 477-7100

Other names 1

  • Hammer Lane Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hammer Lane Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1992584437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 W HAMMER LN STE J",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092368",
            "telephone_number": "209-477-7100",
            "fax_number": "209-477-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 W HAMMER LN STE J",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092368",
            "telephone_number": "209-477-7100",
            "fax_number": "209-477-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "TAJ",
        "authorized_official_title_or_position": "PHARMACY MANAGER / PRESIDENT",
        "authorized_official_telephone_number": "209-477-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammer Lane Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.