Foothill Medical Pharmacy

LBN: Ira S Gold
Foothill Medical Pharmacy is an health care organization with primary practice located at 877 W Fremont Ave Ste A1, Sunnyvale CA 94087-2315. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Ira S Gold can be contacted via phone (408) 739-3452, or through Gold, Ira via phone (408) 739-3452.

Contact Information

Primary practice address
877 W Fremont Ave Ste A1 Sunnyvale CA 94087-2315
Fax: (408) 739-0848
Website:
Authorized official contact:
Name: Gold, Ira

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY38948 California

Profile Details

NPI number 1841201423
LBN Legal business name Ira S Gold
DBA Doing business as Foothill Medical Pharmacy
Authorized official Gold, Ira
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Oct 4th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841201423 NPPES
California MEDICAID PHD151060
California Other 0548478

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