MIKE'S PHARMACY, INC (NPI# 1295829604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295829604 |
| Entity Type | Organization |
| Organization Name | MIKE'S PHARMACY, INC |
| Other Organization Name | MIKE'S ST JOSEPH PHARMACY |
| Practice Address |
2647 International Blvd Ste 106 Oakland CA 94601-1537 |
| Practice Telephone | 5105334130 |
| Practice Fax Number | 5105330980 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | MICHAEL NATALI (CEO AND FOUNDER) |
| Authorized Official Telephone | 5705334130 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PHY228790 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA228790 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 0578382 | 01 |
| Other Name | Type Code |
|---|---|
| MIKE'S ST JOSEPH PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962801159 | Mike's Pharmacy, Inc | Pharmacy | 11189 Columbia St, Blakely, GA 39823-3475 | 2014-08-14 |
| Street Address |
2647 INTERNATIONAL BLVD STE 106 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94601-1537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255311346 | Lula Tsegay | Dentist | 2647 International Blvd, Ste 101, Oakland, CA 94601 | 2006-01-17 |
| 1427225390 | Jamime O Cortes Md | General Practice | 2647 International Blvd, Suite 404, Oakland, CA 94601-1537 | 2008-05-09 |
| 1710161146 | Pamela Gonzalez Garcia | Registered Nurse | 2647 International Blvd, #600, Oakland, CA 94601 | 2007-12-20 |
| 1720261522 | Lachelle Witherspoon | Registered Nurse | 2647 International Blvd, 600, Oakland, CA 94601-1537 | 2007-12-14 |
| 1285817338 | Jeanette Beer | Clinic/Center | 2647 International Blvd, Suite 600, Oakland, CA 94601-1537 | 2007-12-12 |
| 1811179005 | Susan Sanders | Registered Nurse | 2647 International Blvd, Suite 600, Oakland, CA 94601-1537 | 2007-11-29 |
| 1720260912 | Selena Kan | Registered Nurse | 2647 International Blvd, Suite 600, Oakland, CA 94601-1537 | 2007-11-29 |
| 1649302605 | Carolina Robb | Counselor | 2647 International Blvd, Suite 412, Oakland, CA 94601-1537 | 2007-03-12 |
| 1821103748 | Beyond Emancipation Teen Health Center | Clinic/Center | 2647 International Blvd, Suite 420, Oakland, CA 94601-1537 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988762 | Mohini Gadre | Student in an Organized Health Care Education/Training Program | Casa Del Sol, 1501 Fruitvale Ave, Oakland, CA 94601 | 2020-10-02 |
| 1730704289 | Francheska Baloy | Student in an Organized Health Care Education/Training Program | 13585 San Pablo, San Pablo, CA 94601 | 2020-06-10 |
| 1104476597 | Jonathan Ramos Santiago | Social Worker | 13585 San Pablo, 1st Floor, San Pablo, CA 94601 | 2019-09-17 |
| 1205329802 | Stefany Menjivar | Student in an Organized Health Care Education/Training Program | 3908 International Blvd, Oakland, CA 94601 | 2018-06-08 |
| 1710408430 | Martha Alicia Rea | Physician Assistant | 3301 E. 12th St, Suite 113, Oakland, CA 94601 | 2017-07-03 |
| 1922528744 | Jamie Erin Briskin | Social Worker | 3001 International Blvd., Oakland, CA 94601 | 2017-06-22 |
| 1194254706 | Emily Lohmeyer | Student in an Organized Health Care Education/Training Program | 1501 Fruitvale Avenue, Oakland, CA 94601 | 2017-06-07 |
| 1124551494 | Emily Chana Wolfe-roubatis | Midwife | 1450 Fruitvale Ave Fl 3, Oakland, CA 94601 | 2017-04-04 |
| 1417327776 | Ninfa M. Gutierrez | Counselor | 3124 International Blvd., Oakland, CA 94601 | 2015-09-30 |
| 1942600424 | Reliable Care Express, Inc. | Non-emergency Medical Transport (VAN) | 828 27th Ave, Oakland, CA 94601 | 2014-09-03 |
| Find all providers in zip 94601 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114385143 | Integrated Medical Associated Pharmacy Inc | Pharmacy | 10500 Macarthur Blvd # 103, Oakland, CA 94605-5248 | 2016-02-04 |
| 1497183271 | Kaiser Foundation Health Plan Inc | Pharmacy | 3600 Broadway Fl 1, Oakland, CA 94611 | 2013-10-14 |
| 1154623205 | Maxor National Pharmacy Services LLC | Pharmacy | 550 6th St, Oakland, CA 94607-3946 | 2010-11-23 |
| 1841424843 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 3, Oakland, CA 94611-5613 | 2009-05-06 |
| 1104060383 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 4, Oakland, CA 94611-5613 | 2009-05-01 |
| 1770723645 | Kaiser Foundation Health Plan Inc | Pharmacy | 3701 Broadway Fl 1, Oakland, CA 94611-5613 | 2009-03-04 |
| 1457532590 | Specialty Pharmacies, Inc. | Pharmacy | 465 2nd St, Oakland, CA 94607-3839 | 2007-11-16 |
| 1669661237 | Specialty Pharmacies Inc | Pharmacy | 465 2nd Street, Oakland, CA 94607 | 2007-10-19 |
| 1639217623 | Sullivan Pharmaceuticals Inc | Pharmacy | 6123 La Salle Ave, Oakland, CA 94611-2801 | 2007-02-02 |
| 1083701247 | Bradford Pharmacy Inc | Pharmacy | 445 8th St, Oakland, CA 94607-3901 | 2006-10-09 |
| Find all providers in OAKLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.