NEW OAKLAND PHARMACY - SUMMIT (NPI# 1649260480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649260480 |
| Entity Type | Organization |
| Organization Name | NEW OAKLAND PHARMACY - SUMMIT |
| Practice Address |
401 29th St Oakland CA 94609-3519 |
| Practice Telephone | 5108390128 |
| Practice Fax Number | 5108391990 |
| Mailing Telephone | 5108390128 |
| Mailing Fax Number | 5108391990 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS KAM S TAM (VP) |
| Authorized Official Telephone | 5108138687 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY45270 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA452700 | 05 |
| Street Address |
401 29TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801272224 | Webster Medical Clinic | Internal Medicine | 401 29th St, Suite 111, Oakland, CA 94609-3519 | 2015-08-07 |
| 1144633447 | Vitz Chiropractic and Rehabilitation, Inc. | Chiropractor | 401 29th St, Suite 205, Oakland, CA 94609-3519 | 2014-06-04 |
| 1871890012 | Joo Sock Yang, M.d. Medical Corporation | Clinic/Center | 401 29th St, 103, Oakland, CA 94609-3519 | 2011-02-24 |
| 1912130717 | Michael P. Hirsch Chiropractic Corp. | Chiropractor | 401 29th St, 205, Oakland, CA 94609-3519 | 2009-08-26 |
| 1598992323 | Andrea Marie Vitz | Chiropractor | 401 29th St, Suite 205, Oakland, CA 94609-3519 | 2009-06-19 |
| 1912152372 | Aaron Leon Kenin | Acupuncturist | 401 29th St, Suite 101, Oakland, CA 94609-3519 | 2008-11-25 |
| 1326251976 | Ronald Fong | Dentist | 401 29th St, #209, Oakland, CA 94609-3519 | 2007-05-08 |
| 1659405165 | Imhotep Issaquena Medical Group | Clinic/Center | 401 29th St, #206, Oakland, CA 94609-3519 | 2007-03-15 |
| 1679620298 | Thomas E Love, D.d.s., A.p.c. | Dentist | 401 29th St, Suite 211, Oakland, CA 94609-3519 | 2007-01-04 |
| 1992889638 | Michael P Hirsch | Chiropractor | 401 29th St, 205, Oakland, CA 94609-3519 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| 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 |
|---|---|---|---|---|
| 1265040828 | Augusta Ikhile | Pharmacy | 10633 International Blvd, Oakland, CA 94603-3805 | 2020-07-20 |
| 1457879835 | Walgreen Co | Pharmacy | 5809 Foothill Blvd, Oakland, CA 94605-1305 | 2017-09-06 |
| 1821337528 | Rockforth Pharmacy | Pharmacy | 10500 International Blvd, Oakland, CA 94603-3804 | 2013-02-01 |
| 1487885604 | Lg Pharmacies, LLC | Pharmacy | 1620 High St, Suite 2b, Oakland, CA 94601-4536 | 2009-08-05 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1710021886 | Save Mart Supermarkets | Pharmacy | 3000 E 9th St, Oakland, CA 94601-2937 | 2007-02-20 |
| 1083762967 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 4, Oakland, CA 94611 | 2007-01-08 |
| 1699823575 | Kaiser Foundation Health Plan Inc | Pharmacy | 3505 Broadway Fl 4, Oakland, CA 94611-5714 | 2007-01-08 |
| 1598812810 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 1, Oakland, CA 94611-5312 | 2007-01-05 |
| 1437212149 | Oakland Pharmacy Inc | Pharmacy | 601 Pioneer Ave, Oakland, IA 51560 | 2006-12-18 |
| Find all providers in OAKLAND | ||||
Please comment or provide details below to improve the information on NEW OAKLAND PHARMACY - SUMMIT.
| 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.