OAK GROVE PHARMACY (NPI# 1821123456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821123456 |
| Entity Type | Organization |
| Organization Name | OAK GROVE PHARMACY |
| Other Organization Name | OAK GROVE PHARMACY |
| Practice Address |
785 Oak Grove Rd Ste G2 Concord CA 94518-3605 |
| Mailing Address |
785 Oak Grove Rd G2 Concord CA 94518-3615 |
| Practice Telephone | 9256811823 |
| Practice Fax Number | 9256811827 |
| Mailing Telephone | 9256811823 |
| Mailing Fax Number | 9256811827 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | DR. NASER KALIL (OWNER) |
| Authorized Official Telephone | 9256811823 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHA43276 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NCPDP | 0575831 | 01 |
| CA | DEA # | BO5611389 | 01 |
| CA | PHARMACY LIC # | PHA43276 | 01 |
| Other Name | Type Code |
|---|---|
| Oak Grove Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477625705 | Oak Grove Pharmacy | Pharmacist | 5039 Old Highway 11, Suite# 1, Hattiesburg, MS 39402-8845 | 2006-11-14 |
| Street Address |
785 OAK GROVE RD STE G2 |
| City | CONCORD |
| State | CA |
| Zip Code | 94518-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477935203 | Akram Aboukhalil | Pharmacist | 785 Oak Grove Rd Ste G2, Concord, CA 94518-3605 | 2015-06-29 |
| 1629103171 | Naser A Kalil | Pharmacist | 785 Oak Grove Rd Ste G2, Concord, CA 94518-3605 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1750640413 | Advanced Multi Specialty Medical Group | Chiropractor | 4180 Treat Blvd Ste A1, Concord, CA 94518 | 2012-05-15 |
| 1033441928 | Leah Marie Proper | Speech-Language Pathologist | 1050 San Miguel Rd., Concord, CA 94518 | 2010-02-03 |
| 1467689901 | Matthew David Karp | Counselor | 1034 Oak Grove, Concord, CA 94518 | 2009-06-11 |
| 1982856738 | Barbara M Smith | Counselor | 909 Estrella Court, Concord, CA 94518 | 2008-10-10 |
| 1003005521 | Christina Lindemuth | Counselor | 1034 Oak Grove Rd., Concord, CA 94518 | 2007-10-22 |
| 1285836783 | Suzanne Helen Powell | Family Medicine | 2000 Sierra Rd, Concord, CA 94518 | 2007-06-05 |
| 1427183938 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 3737 Barrington Dr, Concord, CA 94518 | 2007-02-23 |
| 1033244108 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 1200 St Elizabeth Ct, Concord, CA 94518 | 2007-02-22 |
| Find all providers in zip 94518 | ||||
| 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 |
|---|---|---|---|---|
| 1922559400 | Concord Pharmacy and Surgical Supply | Pharmacy | 3497 Us Highway 601 S, Concord, NC 28025-0490 | 2016-10-19 |
| 1528306032 | Hpcnc Inc | Pharmacy | 1036 Branchview Dr Ste 108, Concord, NC 28025 | 2013-01-18 |
| 1467739771 | Kevin John Lane | Pharmacy | 5 Eastridge Lane, Concord, CA 94518-1449 | 2011-11-15 |
| 1295818235 | Kerr Drug Inc | Pharmacy | 848 Union St S, Concord, NC 28025-5731 | 2006-10-23 |
| 1386754075 | Kerr Drug Inc | Pharmacy | 690 Church St N, Concord, NC 28025-4321 | 2006-08-30 |
| 1699883074 | Shop N Save Mass Inc | Pharmacy | 73 Fort Eddy Rd, Concord, NH 03301-7405 | 2006-08-27 |
| 1861507808 | Creative Health Initiatives Ltd | Pharmacy | 361 George W Liles Pkwy Nw, Concord, NC 28027 | 2006-08-20 |
| 1982647749 | Longs Drug Stores California Inc | Pharmacy | 15408 Ygnacio Valley Rd, Concord, CA 95421 | 2006-06-13 |
| 1124060942 | Moose Drug Company | Pharmacy | 270 Copperfield Blvd Ne Ste 101, Concord, NC 28025-2443 | 2006-06-13 |
| 1750328183 | Lucky Stores II LLC | Pharmacy | 1751 Monument Blvd, Concord, CA 94520-3804 | 2006-06-02 |
| Find all providers in CONCORD | ||||
Please comment or provide details below to improve the information on OAK GROVE PHARMACY.
| 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.