Provider Type Icon

GERALD C DAVALOS NPI 1861475519


NPI Information

NPI: 1861475519
Provider Name: GERALD C DAVALOS

Doing Business As: ACE PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
2505 NORIEGA STREET
SAN FRANCISCO, CA
ZIP 94122
Phone: (415) 731-3535
Get Directions

GERALD C DAVALOS is a pharmacy in San Francisco, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GERALD C DAVALOS NPI is 1861475519. The provider is registered as an organization entity type.
The provider Is Doing Business As Ace Pharmacy.

The provider's business location address is:

2505 NORIEGA STREET
SAN FRANCISCO, CA
ZIP 94122-126
Phone: (415) 731-3535
Fax: (415) 731-8650

The provider's authorized official is Gerald Charles Davalos .
The authorized official title is Owner Pharmacist and has the following contact phone number (415) 731-3535.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 5/17/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyPHY22384CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA223840MEDICAIDCALIFORNIA
20514530001MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.