NORTH BAY CUSTOM CARE PHARMACY INC (NPI# 1821224510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821224510 |
| Entity Type | Organization |
| Organization Name | NORTH BAY CUSTOM CARE PHARMACY INC |
| Other Organization Name | NORTH BAY CUSTOM CARE PHARMACY |
| Practice Address |
1460 N Camino Alto Suite 101 Vallejo CA 94589-2567 |
| Practice Telephone | 7075528388 |
| Practice Fax Number | 7075528318 |
| Mailing Telephone | 7075528388 |
| Mailing Fax Number | 7075528318 |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2013-09-16 |
| Authorized Official Name | NANCY CHAO (OWNER/PHARMACIST IN CHRG) |
| Authorized Official Telephone | 7075528388 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY49934 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2120592 | 01 | |
| CA | 1821224510 | 05 |
| Other Name | Type Code |
|---|---|
| North Bay Custom Care Pharmacy | Doing Business As Name - Organization |
| Street Address |
1460 N CAMINO ALTO SUITE 101 |
| City | VALLEJO |
| State | CA |
| Zip Code | 94589-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245207489 | Robert Lawrence Freinkel | Allergy & Immunology | 1460 N Camino Alto, Vallejo, CA 94589-2567 | 2006-03-07 |
| 1346613445 | John Muir Physician Network | Internal Medicine | 1460 N Camino Alto, #201, Vallejo, CA 94589-2567 | 2015-11-11 |
| 1174949226 | Napa Solano Foot and Ankle | Podiatrist | 1460 N Camino Alto, Suite 101, Vallejo, CA 94589-2567 | 2014-03-13 |
| 1811336258 | Adventist Health Physicians Network | Internal Medicine | 1460 N Camino Alto, Suite 111, Vallejo, CA 94589-2567 | 2013-06-19 |
| 1346496213 | Ruben S. Velasquez, M.d., Inc. | Internal Medicine | 1460 N Camino Alto, Suite 106, Vallejo, CA 94589-2567 | 2008-08-12 |
| 1528180205 | Voltaire S Velarde Md Inc | Internal Medicine | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | 2007-04-04 |
| 1144340555 | Roberto I Barut | Dentist | 1460 N Camino Alto, #204, Vallejo, CA 94589-2567 | 2007-03-30 |
| 1831232784 | Antonio R Tanpoco, Md, Inc | Obstetrics & Gynecology | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | 2007-02-14 |
| 1538243340 | Voltaire Velarde | Internal Medicine | 1460 N Camino Alto, Suite 209, Vallejo, CA 94589-2567 | 2006-10-25 |
| 1659451854 | Ruben San Diego Velasquez | Internal Medicine | 1460 N Camino Alto, Suite 106, Vallejo, CA 94589-2567 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903478 | Nabreea Dianna Moore | Behavioral Analyst | 1300 Donner Pass Rd, Vallejo, CA 94589 | 2019-03-29 |
| 1588131221 | Alejandra Hernandez De Leon | Behavioral Analyst | 151 Mimosa Ct, Vallejo, CA 94589 | 2018-10-31 |
| 1821588948 | Angela Ancheta Laco | Behavioral Analyst | 71 Los Cerritos Dr, Vallejo, CA 94589 | 2018-05-14 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| 1982997680 | Shuttle California Transit, LLC | Private Vehicle | 322 Lemon St, Vallejo, CA 94589 | 2011-05-27 |
| 1588813455 | Shay Teresa Loftus | Psychologist | 1761 Broadway, Suite 100, Vallejo, CA 94589 | 2008-09-16 |
| 1063629236 | Michael Francis Edziak | Dentist | 150 Hospital Dr., Vallejo, CA 94589 | 2007-05-17 |
| 1346454220 | Diljit Bahuleyan Karayil | Internal Medicine | 975 Sereno Drive, Medical Office- 8, Kaiser Permanente Medical Center, Vallejo, CA 94589 | 2007-05-09 |
| 1174745525 | Thomas Welch Gross | Emergency Medicine | Emergency Dept., Kaiser Permanente Medical Center, 675 Sereno Dr, Vallejo, CA 94589 | 2007-05-03 |
| 1639207756 | James D Prigmore | Dentist | 1620 Valle Vista Ave, Ste 100, Vallejo, CA 94589 | 2007-03-01 |
| Find all providers in zip 94589 | ||||
| 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 |
|---|---|---|---|---|
| 1154364982 | Longs Drug Stores California LLC | Pharmacy | 1193 Admiral Callaghan Ln, Vallejo, CA 94591-3701 | 2006-06-13 |
| 1912323155 | Mercury Pharmacy Corporation | Pharmacy | 480 Redwood St, Suite#33, Vallejo, CA 94590-2958 | 2014-03-12 |
| 1538217328 | Kaiser Foundation Health Plan Inc | Pharmacy | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-08 |
| 1851448179 | Kaiser Foundation Health Plan Inc | Pharmacy | 975 Sereno Dr, Vallejo, CA 94589-2441 | 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.