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VITACARE PHARMACY INC. NPI 1760815781


NPI Information

NPI: 1760815781
Provider Name: VITACARE PHARMACY INC.

Doing Business As: VITACARE PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2447 TELEGRAPH AVE
OAKLAND, CA
ZIP 94612
Phone: (510) 832-7500
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VITACARE PHARMACY INC. is a community/retail pharmacy pharmacy in Oakland, CA. The provider is 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. VITACARE PHARMACY INC. NPI is 1760815781. The provider is registered as an organization entity type.
The provider Is Doing Business As Vitacare Pharmacy.

The provider's business location address is:

2447 TELEGRAPH AVE
OAKLAND, CA
ZIP 94612-404
Phone: (510) 832-7500
Fax: (510) 832-2009

The provider's authorized official is Yonathan Seyoum .
The authorized official title is OWNER, AO, PHCY MANAGER, PICAo, Phcy Manager, Pic and has the following contact phone number (510) 832-7500.

The enumeration date for this NPI number is 8/13/2013 and was last updated on 10/22/2018.


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
13336S0011XPharmacySpecialty PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3333600000XPharmacyNo
43336C0003XPharmacyCommunity/Retail Pharmacy51535CALIFORNIAYes

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
12141663OTHERPK
20010540MEDICAIDCALIFORNIA

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: 11/14/2023

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