PARK PHARMACY INC – NPI #1124033519
Pharmacist

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Health Care Provider Taxonomy Code for Pharmacist

PARK PHARMACY INC is a pharmacist located in SAN PABLO, CA. NPPES has assigned the NPI number 1124033519 to PARK PHARMACY INC on July 31, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PARK PHARMACY INC” is a dba name, the actual legal business name for this organization is BROOKVALE MEDICAL CENTER PHARMACY. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PARK PHARMACY INC below.

NPI Profile for
BROOKVALE MEDICAL CENTER PHARMACY

NPI Number
1124033519
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROOKVALE MEDICAL CENTER PHARMACY
Doing Business As (dba): PARK PHARMACY INC
Primary location
2101 VALE RD
STE 100
SAN PABLO, CA 94806
Phone: (510) 235-4443 Fax: (510) 235-5527
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CATHY THOMPSON
MANAGER
Phone: (510) 235-4441
Updated
Identifiers

Identifiers for PARK PHARMACY INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAPHA225750
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)		 CA PHY22575

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.