BROOKVALE PHARMACY LTC – NPI #1902554991
Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Health Care Provider Taxonomy Code for Pharmacy

BROOKVALE PHARMACY LTC is a pharmacy located in SAN PABLO, CA. NPPES has assigned the NPI number 1902554991 to BROOKVALE PHARMACY LTC on March 17, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BROOKVALE PHARMACY LTC” is a dba name, the actual legal business name for this organization is JS CAPITAL GROUP. The primary taxonomy selected by this provider is 3336L0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Long Term Care Pharmacy

The NPI profile was last updated on Jul 15, 2024. 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 BROOKVALE PHARMACY LTC below.

NPI Profile for
JS CAPITAL GROUP

NPI Number
1902554991
Enumeration Date

(more than 4 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
JS CAPITAL GROUP
Doing Business As (dba): BROOKVALE PHARMACY LTC
Primary location
2089 VALE RD STE 31
SAN PABLO, CA 94806-3875
Phone: (510) 235-4443 Fax: (510) 235-5527
Mailing address
Same as primary location
Organization Subpart
Yes - BROOKVALE PHARMACY LTC is subpart of another organization.
Authorized Official
ROBERT PADIA
COO
Phone: (510) 235-4443
Updated
Certification Date
Jul 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
3336L0003X
- Pharmacy / Long Term Care Pharmacy (Primary)

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.