NPIMap

Organization Active NPI

Apothecary Pharmacy Inc

Doing business as Apothecary Pharmacy

  • Community/Retail Pharmacy
  • Daly City, CA
National Provider Identifier
1992892186
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY49303 Issued in CA
Legal business name
APOTHECARY PHARMACY INC
Doing business as
Apothecary Pharmacy
Practice address
1500 Southgate Ave
Suite 109
Daly City, CA 94015-2259
Phone
(650) 994-0690
Fax
(650) 994-1538
NPI assigned
Oct 7, 2006
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Andrew Lai
Title
Chief Executive Officer
Phone
(650) 994-0690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY49303 CA Primary

Addresses

Primary practice location

1500 Southgate Ave
Suite 109
Daly City, CA 94015-2259

Mailing address

1500 Southgate Ave
Suite 109
Daly City, CA 94015-2259
Phone (650) 994-0690

Other identifiers 2

IdentifierTypeStateIssuer
PHA467670MedicaidCA
0586012OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • APOTHECARY PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Apothecary Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1500 Southgate Ave
Ste 109
Daly City, CA 94015
Phone (650) 994-0690

NPI Registry JSON

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1992892186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 109",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152259",
            "telephone_number": "650-994-0690",
            "fax_number": "650-994-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SOUTHGATE AVE",
            "address_2": "SUITE 109",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152259",
            "telephone_number": "650-994-0690",
            "fax_number": "650-994-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-994-0690"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY49303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA467670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0586012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOTHECARY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.