New Oakland Pharmacy - Summit

LBN: New Oakland Pharmacy - Summit
New Oakland Pharmacy - Summit is an health care organization with primary practice located at 401 29Th St , Oakland CA 94609-3519. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. New Oakland Pharmacy - Summit can be contacted via phone (510) 839-0128, or through Tam, Kam S via phone (510) 813-8687.

Contact Information

Primary practice address
401 29Th St Oakland CA 94609-3519
Fax: (510) 839-1990
Website:
Authorized official contact:
Name: Tam, Kam S PHARM.D.

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY45270 California

Profile Details

NPI number 1649260480
LBN Legal business name New Oakland Pharmacy - Summit
DBA Doing business as
Authorized official Tam, Kam S PHARM.D.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1649260480 NPPES
California MEDICAID PHA452700

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