VITACARE PHARMACY INC. NPI 1902310246

NPI Information

  • NPI: 1902310246
  • Provider Name: VITACARE PHARMACY INC.
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • Former Legal Business Name: YONATHAN SEYOUM
  • Address: 2447 TELEGRAPH AVE
    OAKLAND, CA
    ZIP 94612
  • Phone: (510) 832-7500

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NPI Details

VITACARE PHARMACY INC. is a pharmacy in Oakland, 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. VITACARE PHARMACY INC. NPI is 1902310246. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Yonathan Seyoum.

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 Manager/owner and has the following contact phone number (510) 832-7500.

The enumeration date for this NPI number is 11/23/2017 and was last updated on 6/11/2019.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacy44770CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
151535OTHERCALIFORNIAPHARMACY STATE LICENSE NUMBER
210540MEDICAIDCALIFORNIA

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: 11/21/2025

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