PENINSULA PROFESSIONAL CENTER PHARMACY (NPI# 1891770038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891770038 |
| Entity Type | Organization |
| Organization Name | PENINSULA PROFESSIONAL CENTER PHARMACY |
| Practice Address |
1828 El Camino Real Peninsula Professional Center Pharmacy Burlingame CA 94010-3103 |
| Practice Telephone | 6506923977 |
| Practice Fax Number | 6506923978 |
| Mailing Telephone | 6506923977 |
| Mailing Fax Number | 6506923978 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GEORGE A POOLE (OWNER) |
| Authorized Official Telephone | 6506923977 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | PHY17946 | CA | Suppliers |
| Street Address |
1828 EL CAMINO REAL PENINSULA PROFESSIONAL CENTER PHARMACY |
| City | BURLINGAME |
| State | CA |
| Zip Code | 94010-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532145 | Simon Kwanmin Lee | Internal Medicine | 1828 El Camino Real, Suite 406, Burlingame, CA 94010-3103 | 2005-07-21 |
| 1124409008 | Jnz Medical Group, Inc. | Acupuncturist | 1828 El Camino Real, Ste. 804, Burlingame, CA 94010-3103 | 2015-06-16 |
| 1487032900 | Apollo Family Medicine and Sleep Medicine Inc | Family Medicine | 1828 El Camino Real, Suite 507, Burlingame, CA 94010-3103 | 2015-05-16 |
| 1609263961 | Bay Area Union Health Center | Internal Medicine | 1828 El Camino Real, Suite 405, Burlingame, CA 94010-3103 | 2015-04-23 |
| 1285043554 | Enda W Trinh | Nurse Practitioner | 1828 El Camino Real, Suite 706, Burlingame, CA 94010-3103 | 2014-08-12 |
| 1730594375 | Chien-chung Calvin Wang | Acupuncturist | 1828 El Camino Real, Suite 401, Burlingame, CA 94010-3103 | 2014-06-23 |
| 1104237031 | Intentional Health, An Acupuncture and Holistic Healing Corp. | Acupuncturist | 1828 El Camino Real, #401, Burlingame, CA 94010-3103 | 2014-05-14 |
| 1881019040 | Julie Jones | Registered Nurse | 1828 El Camino Real, 706, Burlingame, CA 94010-3103 | 2014-02-25 |
| 1811322258 | Dr. Zhou's Ob/gyn, A Professional Corporation | Obstetrics & Gynecology | 1828 El Camino Real, Suite 806, Burlingame, CA 94010-3103 | 2013-09-04 |
| 1790118271 | Simone Masson | Nurse Practitioner | 1828 El Camino Real, #507, Burlingame, CA 94010-3103 | 2013-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071850 | Jilla Lavian | Social Worker | 1240 Lakeview Drive, San Mateo, CA 94010 | 2020-07-23 |
| 1982246575 | Golden State Heart & Vascular Associates | Internal Medicine | 1850 El Camino Real Ste 200, Burlingame, CA 94010 | 2019-10-15 |
| 1184182248 | Primrose Healing and Wellness, Inc. | Marriage & Family Therapist | 405 Primrose Rd, #320, Burlingame, CA 94010 | 2019-03-07 |
| 1720508724 | Monazza Chaudhry | Pharmacist | 1828 El Camino Real #104, Burlingame, CA 94010 | 2017-06-21 |
| 1861804007 | Heidi Platt | Counselor | 826 Mahler Road, Burlingame, CA 94010 | 2014-05-22 |
| 1144662685 | Scarlett M Reyes | Counselor | 1818 Gilbreth Road, Suite 230, Womens Recovery Association, Burlingame, CA 94010 | 2013-07-25 |
| 1760821979 | Elliot Naidus | Internal Medicine | 1720 El Camino Real Ste 150, Burlingame, CA 94010 | 2013-06-20 |
| 1831430651 | Huddleston Care, LLC | In Home Supportive Care | 1364 Drake Avenue, Burlingame, CA 94010 | 2013-03-04 |
| 1891070843 | Linda Susan Notario | Pharmacist | 260 El Camino Raal, Burlingame, CA 94010 | 2011-10-20 |
| 1063794006 | Tram Anh Le | Pharmacist | 260 N El Camino Real, Burlingame, CA 94010 | 2011-09-15 |
| Find all providers in zip 94010 | ||||
| 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 |
|---|---|---|---|---|
| 1659651529 | Safeway Inc | Pharmacy | 1450 Howard Ave, Burlingame, CA 94010-4202 | 2011-08-24 |
| 1336150911 | Oak Grove Pharmacy Inc | Pharmacy | 1750 El Camino Real Ste 101, Burlingame, CA 94010-3210 | 2006-08-10 |
| 1386880086 | Mills Peninsula Medical Center Pharmacy | Pharmacy | 1501 Trousdale Dr, Burlingame, CA 94010-4506 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGAME |
| Zip Code | 94010 |
Please comment or provide details below to improve the information on PENINSULA PROFESSIONAL CENTER 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.