GRANT LINE PHARMACY INC (NPI# 1386816205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386816205 |
| Entity Type | Organization |
| Organization Name | GRANT LINE PHARMACY INC |
| Other Organization Name | GRANT LINE PHARMACY |
| Practice Address |
2160 W Grant Line Rd Ste 205 Tracy CA 95377-7330 |
| Practice Telephone | 2098322999 |
| Practice Fax Number | 2092210909 |
| Mailing Telephone | 2098322999 |
| Mailing Fax Number | 2092210909 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | BEATLE TRAN (CEO/PHARMACIST) |
| Authorized Official Telephone | 2098322999 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY48989 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1386816205 | 05 | |
| PK | 2113308 | 01 |
| Other Name | Type Code |
|---|---|
| GRANT LINE PHARMACY | Doing Business As Name - Organization |
| Street Address |
2160 W GRANT LINE RD STE 205 |
| City | TRACY |
| State | CA |
| Zip Code | 95377-7330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608683 | Thomas B Mcnemar | Plastic Surgery | 2160 W Grant Line Rd, Suite 250, Tracy, CA 95377-7330 | 2005-06-09 |
| 1356717854 | Mitchell E. Blum M.d., F.a.c.s., Inc. | Otolaryngology | 2160 W Grant Line Rd, Suite 250, Tracy, CA 95377-7330 | 2015-08-19 |
| 1902200066 | George Shiao, Dmd | Dentist | 2160 W Grant Line Rd, Suite 220, Tracy, CA 95377-7330 | 2014-10-20 |
| 1184812851 | Delta Eye Medical Group, Inc. | Ophthalmology | 2160 W Grant Line Rd, Suite 100, Tracy, CA 95377-7330 | 2007-10-09 |
| 1013104389 | Tracy Surgery Center, LLC | Clinic/Center | 2160 W Grant Line Rd, Suite 120, Tracy, CA 95377-7330 | 2007-10-01 |
| 1427166685 | Hana Rha Lim | Optometrist | 2160 W Grant Line Rd, Suite 100, Tracy, CA 95377-7330 | 2006-08-28 |
| 1962519652 | Pamela Y Tsuchiya | Ophthalmology | 2160 W Grant Line Rd, Suite 100, Tracy, CA 95377-7330 | 2006-08-25 |
| 1265453872 | Tracy Urgent Care, Inc | Internal Medicine | 2160 W Grant Line Rd, Ste.230, Tracy, CA 95377-7330 | 2006-07-21 |
| 1154355832 | Usman M Ali | Internal Medicine | 2160 W Grant Line Rd, Ste 230, Tracy, CA 95377-7334 | 2006-07-10 |
| 1700818168 | Thomas B Mcnemar Md Inc | Plastic Surgery | 2160 W Grant Line Rd, Suite 250, Tracy, CA 95377-7330 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787070 | Mehak Bhardwaj | Behavior Technician | 2434 Saffron Ct, Tracy, CA 95377 | 2020-07-22 |
| 1427510809 | Xiaorui Yang | Behavior Technician | 1951 W Middlefield Dr Apt 224, Tracy, CA 95377 | 2019-04-03 |
| 1962936328 | Duc Nguyen | Pharmacist | 2941 W. Lowell Ave, Apt# 21, Tracy, CA 95377 | 2017-04-12 |
| 1053735043 | Luke Rond | Emergency Medicine | 763 Quail Run Cir, Tracy, CA 95377 | 2014-02-11 |
| 1578862553 | Nhan Duong | Pharmacist | 3250 W. Grant Line Road, Tracy, CA 95377 | 2011-03-16 |
| 1952570582 | Tech Diamond Health Care | Home Health | 2098 Babcock Lane, Tracy, CA 95377 | 2008-02-28 |
| 1316058795 | Wandisan and Rosete Medical Group Professional Corporation | Internal Medicine | 4600 S Tracy Blvd #107, Tracy, CA 95377 | 2006-08-31 |
| 1801838610 | Rollie Duyao Rosete | Internal Medicine | 4600 S Tracy Blvd, #107, Tracy, CA 95377 | 2006-06-13 |
| 1649274663 | Wivina Talabis Urbano | Pediatrics | 4600 South Tracy Blvd, Suite 110, Tracy, CA 95377 | 2005-06-08 |
| 1770586448 | Mitchell Edward Blum | Otolaryngology | 2160 W. Grantline Rd, Suite 250, Tracy, CA 95377 | 2005-05-24 |
| Find all providers in zip 95377 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851401467 | Costco Wholesale Corporation | Pharmacy | 3250 W Grant Line Rd, Tracy, CA 95304 | 2006-08-30 |
| 1609898899 | Longs Drug Stores California LLC | Pharmacy | 1885 W 11th St, Tracy, CA 95376-3727 | 2006-07-24 |
| 1740222553 | Longs Drug Stores California LLC | Pharmacy | 3320 N Tracy Blvd, Tracy, CA 95376-1721 | 2006-06-13 |
| 1487887303 | Raleys | Pharmacy | 2550 S Tracy Blvd, Tracy, CA 95376-9102 | 2009-08-26 |
| 1861679771 | John's Rx Drug, Inc | Pharmacy | 131 3rd St, Tracy, MN 56175-1211 | 2008-01-23 |
| 1114062098 | Save Mart Supermarkets | Pharmacy | 875 S Tracy Blvd, Tracy, CA 95376-4744 | 2007-02-20 |
| 1609923937 | Kaiser Foundation Health Plan Inc | Pharmacy | 2185 W Grant Line Rd, Tracy, CA 95377-7309 | 2007-01-05 |
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| 1750981874 | Capsule San Francisco LLC | Pharmacy | 475 University Ave, Palo Alto, CA 94301-1814 | 2020-10-28 |
| 1447850623 | Sterling Hatteras LLC | Pharmacy | 916 E Cypress Ave Ste 300, Redding, CA 96002-1038 | 2020-10-28 |
| 1922608454 | Vanessa Ann Marie Rita Pitts | Pharmacy | 26365 Buccaneer Ln, Helendale, CA 92342-7739 | 2020-10-26 |
| 1205435971 | Rinaldi Pharmacy, Inc. | Pharmacy | 11237 Tampa Ave, Porter Ranch, CA 91326-1610 | 2020-10-22 |
| 1467051300 | San Dimas Wellness Pharmacy | Pharmacy | 830 W Arrow Hwy Ste 830b, San Dimas, CA 91773-2498 | 2020-10-21 |
| 1225636889 | Med-plus Pharmacy Inc | Pharmacy | 335 Lindbergh Ave, Livermore, CA 94551-9291 | 2020-10-15 |
| 1689271066 | Innova Pharmacy Iv | Pharmacy | 4815 Watt Ave Ste B101, North Highlands, CA 95660-5108 | 2020-10-08 |
| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
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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.