PACIFIC PHARMACY (NPI# 1790849701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790849701 |
| Entity Type | Organization |
| Organization Name | PACIFIC PHARMACY |
| Practice Address |
650 International Blvd Oakland CA 94606-2986 |
| Practice Telephone | 5104513234 |
| Practice Fax Number | 5104513230 |
| Mailing Telephone | 5104513234 |
| Mailing Fax Number | 5104513230 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2008-07-31 |
| Authorized Official Name | LOI PHAM (OWNER) |
| Authorized Official Telephone | 5104513234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 45477 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA404730 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104999119 | Pacific Pharmacy | Durable Medical Equipment & Medical Supplies | 2874 Alum Rock Ave, Ste A, San Jose, CA 95127-2804 | 2006-11-16 |
| Street Address |
650 INTERNATIONAL BLVD |
| City | OAKLAND |
| State | CA |
| Zip Code | 94606-2986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588684708 | Hai Tan Pham | Dentist | 650 International Blvd, Suite A, Oakland, CA 94606-2986 | 2006-07-20 |
| 1073912044 | Phu Le | Dentist | 650 International Blvd, Oakland, CA 94606-2986 | 2014-08-15 |
| 1720393929 | Margaret Macminn | Dentist | 650 International Blvd, Oakland, CA 94606-2986 | 2010-08-11 |
| 1558557835 | Gary Harnois | Dentist | 650 International Blvd, Suite A, Oakland, CA 94606-2986 | 2007-09-19 |
| 1528131059 | Thanh K Bui Md Corporation | Family Medicine | 650 International Blvd, Ste B, Oakland, CA 94606-2912 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366923369 | Rhummanee Hang | Case Manager/Care Coordinator | 544 International Blvd., Suite #9, Oakland, CA 94606 | 2018-08-27 |
| 1841746153 | First Aid Transportation LLC | Non-emergency Medical Transport (VAN) | 1709 International Blvd Ste 107, Oakland, CA 94606 | 2016-08-27 |
| 1609236686 | Erik D Grasso | Behavioral Analyst | 1340 East 28th St., Suite C, Oakland, CA 94606 | 2016-03-03 |
| 1457770935 | Jessica Robin Gar Ling Leung | Family Medicine | 250 E. 18th Street, 2nd Floor, Oakland, CA 94606 | 2014-04-10 |
| 1902230709 | Masja Van Der Hoog | Acupuncturist | 1511 23rd Ave, Apt 10, Oakland, CA 94606 | 2013-08-28 |
| 1063756997 | Christine Michelle Huffner | Nurse Practitioner | 1030 International Blvd. San Antonio Neighborhood Healt, Oakland, CA 94606 | 2012-11-15 |
| 1336418920 | Alexandra Elisabeth Brewster | Counselor | 907 Lake Street San Pablo Avenue, San Pablo, CA 94606 | 2011-12-28 |
| 1780964064 | Meagen Elizabeth Grundberg | Community Health Worker | 544 International Blvd Ste 9, Oakland, CA 94606 | 2011-08-18 |
| 1285764217 | Nguyen Tran Dang, Dds, Inc. | Dentist | 270 East 12th St., Oakland, CA 94606 | 2007-03-07 |
| 1689704017 | Nguyen Tran Dang | Dentist | 270 East 12th Street, Oakland, CA 94606 | 2007-03-06 |
| Find all providers in zip 94606 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020020 | Daniel Ninh | Pharmacist | 3093 Broadway Unit 523, Oakland, CA 94611-5894 | 2020-10-13 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1780291880 | Jennifer He | Pharmacist | 747 52nd St Ste 125, Oakland, CA 94609-1809 | 2020-09-23 |
| 1447865944 | Nate Sandve | Pharmacist | 3226 Fruitvale Ave, Oakland, CA 94602-2115 | 2020-09-11 |
| 1356950869 | Loi Pham | Pharmacist | 600 International Blvd # 105, Oakland, CA 94606-2993 | 2020-07-30 |
| 1548878325 | Margaret P So | Pharmacist | 4379 Terrabella Pl, Oakland, CA 94619-3161 | 2020-07-17 |
| 1548829062 | Michael Nishioka | Pharmacist | 3236 Lakeshore Ave, Oakland, CA 94610-2720 | 2019-06-08 |
| 1124598339 | Lesly-anne Samedy | Pharmacist | 1000 43rd St Apt 25, Oakland, CA 94608-3789 | 2018-11-29 |
| 1235617788 | Cathy Yan-fang Liang | Pharmacist | 2877 Macarthur Blvd, Oakland, CA 94602-3229 | 2018-08-06 |
| 1194201038 | Mudashiru Tahir | Pharmacist | 950 66th Ave Apt 108, Oakland, CA 94621-3188 | 2018-07-13 |
| 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.