FAIR OAKS PHARMACY, INC (NPI# 1932240132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932240132 |
| Entity Type | Organization |
| Organization Name | FAIR OAKS PHARMACY, INC |
| Practice Address |
1051 E Grand Ave Arroyo Grande CA 93420-2504 |
| Practice Telephone | 8054894243 |
| Practice Fax Number | 8054894116 |
| Mailing Telephone | 8054894243 |
| Mailing Fax Number | 8054894116 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHHITU N PATEL (PRESIDENT) |
| Authorized Official Telephone | 8054894243 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY47130 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA LIC | AF9784768 | 01 | |
| CA | PHA471300 | 05 |
| Street Address |
1051 E GRAND AVE |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948686 | Apex Pharmacy | Durable Medical Equipment & Medical Supplies | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2005-11-07 |
| 1881106870 | Labdhi Parikh | Pharmacist | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2017-10-30 |
| 1346615028 | Rahul Shah | Pharmacist | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2015-12-07 |
| 1447595046 | Jeannette Reina | Pharmacist | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2012-12-07 |
| 1255676862 | Jerry Martin Shapazian | Pharmacist | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2012-12-07 |
| 1306976659 | Lynnette Borgman | Pharmacist | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2007-03-06 |
| 1326029927 | Pashmina Patel | Pharmacist | 1051 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| 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] |
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| 1114524683 | Bear Valley Pharmacy | Pharmacy | 17003 Bear Valley Rd Ste B, Hesperia, CA 92345-1420 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
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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.