NEW OAKLAND PHARMACY 1 (NPI# 1114917952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114917952 |
| Entity Type | Organization |
| Organization Name | NEW OAKLAND PHARMACY 1 |
| Practice Address |
333 9th St Oakland CA 94607-4211 |
| Practice Telephone | 5106280368 |
| Practice Fax Number | 5106280323 |
| Mailing Telephone | 5106280368 |
| Mailing Fax Number | 5106280323 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KAM S TAM (VP) |
| Authorized Official Telephone | 5108138687 |
| Authorized Official Credential | PHARM.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY43359 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA433590 | 05 |
| Street Address |
333 9TH ST |
| City | OAKLAND |
| State | CA |
| Zip Code | 94607-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720538515 | Van Pham | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2016-10-05 |
| 1033588942 | Kam Tam | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2015-09-21 |
| 1871986943 | Mimi Chang | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2015-03-12 |
| 1235468141 | Alex Ma | Pharmacist | 333 9th St, Oakland, CA 94607-4211 | 2009-12-24 |
| 1881642742 | Jennifer Wai-yan Tam | Pharmacist | 333 9th St, Oakland, CA 94607 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990832 | Casey Domine | Nurse Practitioner | 1750 10th St., Apt. A, Oakland, CA 94607 | 2020-10-21 |
| 1992303226 | Sonia Maria Sui Ying Poon Harris | Pharmacist | 388 9th Street Ste 108, Oakland, CA 94607 | 2020-10-09 |
| 1962029595 | Yuan Yan | Student in an Organized Health Care Education/Training Program | 310 8th Street, Suit 210 Asian Health Services: Special, Oakland, CA 94607 | 2020-06-30 |
| 1093339962 | Alameda County Probation Department | Case Manager/Care Coordinator | 1111 Jackson St., Oakland, CA 94607 | 2020-06-05 |
| 1053947812 | Deanna Karraa | Registered Nurse | 1111 Jackson 6th Floor, Oakland, CA 94607 | 2020-03-12 |
| 1952942575 | Roots Community Health Center | Family Medicine | 583 5th St Ste A, Oakland, CA 94607 | 2019-10-04 |
| 1568927994 | Lynsey Scott | Counselor | Wiley Manuel Courthouse, 661 Washington St Rm223, Oakland, CA 94607 | 2019-02-11 |
| 1366930182 | Options Recovery Services | Community/Behavioral Health | 614 Alice St, Oakland, CA 94607 | 2018-04-26 |
| 1255845640 | Adrienne My-tram Nguyen, Dds - Inc | Dentist | 475 8th Street, Oakland, CA 94607 | 2017-11-22 |
| 1912422528 | Maria H Cho | Registered Nurse | 2511 Market St, Oakland, CA 94607 | 2017-08-04 |
| Find all providers in zip 94607 | ||||
| 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 |
|---|---|---|---|---|
| 1265040828 | Augusta Ikhile | Pharmacy | 10633 International Blvd, Oakland, CA 94603-3805 | 2020-07-20 |
| 1457879835 | Walgreen Co | Pharmacy | 5809 Foothill Blvd, Oakland, CA 94605-1305 | 2017-09-06 |
| 1821337528 | Rockforth Pharmacy | Pharmacy | 10500 International Blvd, Oakland, CA 94603-3804 | 2013-02-01 |
| 1487885604 | Lg Pharmacies, LLC | Pharmacy | 1620 High St, Suite 2b, Oakland, CA 94601-4536 | 2009-08-05 |
| 1598937161 | Pharmaca Integrative Pharmacy, Inc. | Pharmacy | 5729 College Ave, Oakland, CA 94618 | 2008-03-24 |
| 1710021886 | Save Mart Supermarkets | Pharmacy | 3000 E 9th St, Oakland, CA 94601-2937 | 2007-02-20 |
| 1083762967 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 4, Oakland, CA 94611 | 2007-01-08 |
| 1699823575 | Kaiser Foundation Health Plan Inc | Pharmacy | 3505 Broadway Fl 4, Oakland, CA 94611-5714 | 2007-01-08 |
| 1598812810 | Kaiser Foundation Health Plan Inc | Pharmacy | 3801 Howe St Fl 1, Oakland, CA 94611-5312 | 2007-01-05 |
| 1437212149 | Oakland Pharmacy Inc | Pharmacy | 601 Pioneer Ave, Oakland, IA 51560 | 2006-12-18 |
| 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.