MIDTOWN PHARMACY PC (NPI# 1932105897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932105897 |
Entity Type | Organization |
Organization Name | MIDTOWN PHARMACY PC |
Other Organization Name | MIDTOWN PHARMACY PROFESSIONAL CORPORATION |
Practice Address |
2173 Harbor Bay Pkwy Alameda CA 94502-3019 |
Practice Telephone | 5108644199 |
Practice Fax Number | 5108644196 |
Mailing Telephone | 5108644199 |
Mailing Fax Number | 5108644196 |
Enumeration Date | 2005-06-24 |
Last Update Date | 2016-03-25 |
Authorized Official Name | WAYNE COLEMAN (PHARMACIST CEO) |
Authorized Official Telephone | 5108644199 |
Authorized Official Credential | PHARMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY53944 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 1992840 | 01 | |
CA | PHA53944 | 05 |
Other Name | Type Code |
---|---|
MIDTOWN PHARMACY PROFESSIONAL CORPORATION | Doing Business As Name - Organization |
Street Address |
2173 HARBOR BAY PKWY |
City | ALAMEDA |
State | CA |
Zip Code | 94502-3019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699121970 | Dao Integrated Health | Acupuncturist | 1050 Marina Village Pkwy, Ste 104, Alameda, CA 94502 | 2016-05-05 |
1235569609 | Native American Health Center | Community/Behavioral Health | 1151 Harbor Pkwy, Alameda, CA 94502 | 2013-11-20 |
1215286893 | Alliant International University | Community/Behavioral Health | 200 Aughinbaugh, Alameda, CA 94502 | 2012-08-29 |
1649474826 | Community Health for Asian Americans | Community/Behavioral Health | 1141 Harbor Bay Pkwy # 105, Alameda, CA 94502 | 2007-06-12 |
1245374750 | Connie Conley Jung | Psychologist | 1151 Harbor Bay Parkway #137, Alemeda, CA 94502 | 2007-02-16 |
1760569511 | Pamela B Wain | Physical Therapist | 502 Lagunaria Lane, Alameda, CA 94502 | 2006-11-01 |
1073562856 | Michael F Britt | Optometrist | 887a Island Dr, Alameda, CA 94502 | 2006-05-09 |
1104111483 | Golden Pacific Home Health, Inc. | Home Health | 1151 Harbor Bay Parkway, Suite 101, Alameda, CA 94502-1476 | 2011-06-14 |
1073153193 | Michele Mason Cushner | Acupuncturist | 2179 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2020-01-07 |
1124292834 | Peter Chen | Dentist | 2181 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2008-04-15 |
Find all providers in zip 94502 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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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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.